Mrs. Alyssa Rose Marie Formyduval
MS, OTR/L, CSRS | Occupational Therapist
4321 Fir St, East Chicago
Indiana, 46312-3097
219-392-7400 Maps & DirectionsMrs. Alyssa Rose Marie Formyduval is a East Chicago, Indiana based therapist who is specialized in Occupational Therapy. Active license number of Mrs. Alyssa Rose Marie Formyduval is 31005709A for Occupational Therapy in Indiana. Her current practice location is 4321 Fir St, East Chicago. Patients can reach her at 219-392-7400. Mrs. Alyssa Rose Marie Formyduval is MS, OTR/L, CSRS in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1891285748.
Mrs. Alyssa Rose Marie Formyduval provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Mrs. Alyssa Rose Marie Formyduval speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Alyssa Rose Marie Formyduval |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Credentials: | MS, OTR/L, CSRS |
| Practice Address: | 4321 Fir St, East Chicago,
Indiana, 46312-3097 |
| Phone: | 219-392-7400 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1891285748 |
| NPI Enumeration Date: | 16 May, 2018 |
| NPI Last Update On: | 16 May, 2018 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Alyssa Rose Marie Formyduval are as mentioned below.
| License Number | Specialization | State | Status | |
| 31005709A | Occupational Therapy | Indiana | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Alyssa Rose Marie Formyduval
4321 Fir St,
East Chicago, Indiana |
| Zip: | 46312-3097 |
| Phone Number: | 219-392-7400 |
Patients can reach Mrs. Alyssa Rose Marie Formyduval at
4321 Fir St, East Chicago, Indiana or can
call to book an appointment on 219-392-7400.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.