Individual
ALICIA A CHARLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7852 STATE HIGHWAY 56, NORWOOD, NY 13668-3194
(315) 353-6631
Mailing address
7852 STATE HIGHWAY 56, NORWOOD, NY 13668-3194
(315) 353-6631
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
63012544
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01377802
—
NY
Enumeration date
01/20/2012
Last updated
01/20/2012
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