Individual
MRS. ALIDA O. PISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9 RIDGE DR, CHAPPAQUA, NY 10514-2612
(914) 238-6013
Mailing address
9 RIDGE DRIVE, CHAPPAQUA, NY 10514-2612
(914) 238-6013
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
000564
NY
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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