# MS. ALISA JOAN VANDOMBURG SCIPIO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326109737
- **Gender:** F
- **Credential:** OTR

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 003409 | CT | Yes |
| 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