Individual
ALLISON MICHELLE PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(315) 464-5540
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023791
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161469571
—
NY
Enumeration date
08/02/2019
Last updated
08/02/2019
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