Individual
ALYCIA GRESHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
14201 W SUNRISE BLVD STE 107, SUNRISE, FL 33323-3207
(954) 756-2818
(954) 514-1126
Mailing address
14201 W SUNRISE BLVD STE 107, SUNRISE, FL 33323-3207
(954) 756-2818
(954) 514-1126
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA18115
FL
225X00000X
Occupational Therapist
Primary
OT26065
FL
Other
Enumeration date
10/12/2022
Last updated
03/20/2025
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