Individual
ALICIA MARIE SHORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
23528 148TH AVE, ROSEDALE, NY 11422-3257
(646) 423-5917
Mailing address
23528 148TH AVE, ROSEDALE, NY 11422-3257
(646) 423-5917
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012433-1
NY
225X00000X
Occupational Therapist
056.007534
IL
Other
Enumeration date
03/09/2007
Last updated
04/12/2012
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