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Individual

MS. ALISA JOAN VANDOMBURG SCIPIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1931 BLACK ROCK TPKE, REHABILITATION ASSOCIATES, INC, FAIRFIELD, CT 06825-3506
(203) 384-8681
Mailing address
192 ALDEN AVE, 1ST FLOOR, NEW HAVEN, CT 06515-2112
(203) 507-2166

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003409
CT
225X00000X
Occupational Therapist
014962
NY
225XP0200X
Pediatric Occupational Therapist
072-0000512
VT
225XP0200X
Pediatric Occupational Therapist
1828
NH

Other

Enumeration date
12/12/2006
Last updated
03/08/2009
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