Individual
ALLISON MAUREEN TREVISANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
3 RUSSET BUSH LN, UTICA, NY 13501-5531
(315) 292-3053
Mailing address
3 RUSSET BUSH LN, UTICA, NY 13501-5531
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016137
NY
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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