Provider Demographics
NPI:1538610381
Name:SAURMAN, ALYSSA LYNN (DPT)
Entity type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:LYNN
Last Name:SAURMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MS
Other - First Name:ALYSSA
Other - Middle Name:LYNN
Other - Last Name:KORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:114 N SHORE RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23505-3409
Mailing Address - Country:US
Mailing Address - Phone:215-827-7624
Mailing Address - Fax:
Practice Address - Street 1:130 GREAT BRIDGE BLVD
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-3902
Practice Address - Country:US
Practice Address - Phone:757-512-6982
Practice Address - Fax:757-215-2877
Is Sole Proprietor?:No
Enumeration Date:2016-10-17
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305210710225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist