Individual
ALYSSA PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 BROADWAY STE 403, NEW YORK, NY 10007-3654
(347) 491-4451
Mailing address
1175 YORK AVE, NEW YORK, NY 10065-7169
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027041
NY
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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