Individual
MISS ALISON R MATOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
35 FOUR CORNERS RD, STATEN ISLAND, NY 10304-1217
(860) 309-6554
Mailing address
PO BOX 60174, STATEN ISLAND, NY 10306
(860) 309-6554
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
017076-1
NY
Other
Enumeration date
02/06/2012
Last updated
02/27/2012
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