Individual
ALISON CECILE HIESTAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
120 COCKS LN, LOCUST VALLEY, NY 11560-2314
(516) 801-3214
Mailing address
120 COCKS LN, LOCUST VALLEY, NY 11560-2314
(516) 801-3214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
010952
NY
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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