Individual
MS. ANNALISA VISCUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
24 SUNSET BLVD, COXSACKIE, NY 12051
(518) 731-1770
Mailing address
24 SUNSET BLVD, COXSACKIE, NY 12051
(518) 731-1770
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
004017-1
NY
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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