Individual
ALICIA K ROLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2993 N CREEK RD, APT. 2, PALMYRA, NY 14522-9226
(315) 573-4856
Mailing address
2993 N CREEK RD, APT. 2, PALMYRA, NY 14522-9226
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016843
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016843
NEW YORK STATE LICENSE
NY
Enumeration date
07/29/2011
Last updated
10/21/2011
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