Individual
ALICE MARIE DELUISE-MASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
520 E 76TH ST APT 11E, NEW YORK, NY 10021-3169
(914) 548-5161
Mailing address
520 E 76TH ST APT 11E, NEW YORK, NY 10021-3169
(914) 548-5161
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000490
NY
225X00000X
Occupational Therapist
000490-1
NY
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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