Individual
ALYSON MORTIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5409 65TH PL, MASPETH, NY 11378-1659
(646) 339-4312
Mailing address
5409 65TH PL, MASPETH, NY 11378-1659
(646) 339-4312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
021449
NY
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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