Individual
ALYSON DELACKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15 LORETTA DR, SYOSSET, NY 11791-5818
(516) 507-4883
Mailing address
15 LORETTA DR, SYOSSET, NY 11791-5818
(516) 507-4883
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
022398
NY
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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