Individual
ALYSSA GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5421 PATTERSON AVE, RICHMOND, VA 23226-2003
(804) 288-0642
(804) 285-0292
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 580-5200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006311
VA
Other
Enumeration date
12/16/2015
Last updated
02/10/2020
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