Individual
MRS. ALLYSON PEARL WILLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
362 BUCHANAN AVENUE, STATEN ISLAND, NY 10314
(718) 619-2406
Mailing address
362 BUCHANAN AVE, STATEN ISLAND, NY 10314-4101
(718) 619-2406
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
019492
NY
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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