Provider Demographics
NPI:1487182853
Name:BOJDO, ALISSA CHRISTINE (DPT)
Entity Type:Individual
Prefix:
First Name:ALISSA
Middle Name:CHRISTINE
Last Name:BOJDO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ALISSA
Other - Middle Name:CHRISTINE
Other - Last Name:BERGMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:423-238-3473
Practice Address - Street 1:2355 W MAIN ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-8484
Practice Address - Country:US
Practice Address - Phone:937-703-9001
Practice Address - Fax:937-703-9003
Is Sole Proprietor?:No
Enumeration Date:2017-05-31
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT016899225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist