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Individual
MS. ALISA JOAN VANDOMBURG SCIPIO
Active
Individual
MS. ALISA JOAN VANDOMBURG SCIPIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003409
CT
225X00000X
Occupational Therapist
014962
NY
225XP0200X
Pediatric Occupational Therapist
072-0000512
VT
225XP0200X
Pediatric Occupational Therapist
1828
NH
Other
Enumeration date
12/12/2006
Last updated
03/08/2009
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