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Individual

MRS. ALYSSA RACKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOTR/L

Contact information

Practice address
4 FERN PL, PLAINVIEW, NY 11803-4725
(516) 933-4700
Mailing address
18 HARDING RD, COPIAGUE, NY 11726-5039
(516) 592-0637

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
019193
NY

Other

Enumeration date
03/04/2022
Last updated
03/04/2022
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