Individual
MISS ALYSSA DENISE TAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 RAPP RD, ALBANY, NY 12203-4491
(518) 867-3066
Mailing address
512 SWAGGERTOWN RD, GLENVILLE, NY 12302-3714
(518) 496-1956
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009811-1
NY
Other
Enumeration date
08/09/2018
Last updated
01/29/2024
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