Individual
MS. ALEXANDRA MINDY MARISE BIALKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
400 DOANSBURG RD, BOX 719, GREEN CHIMNEYS, BREWSTER, NY 10509-5902
(845) 279-2995
(845) 279-3077
Mailing address
400 DOANSBURG RD, BOX 719, GREEN CHIMNEYS, BREWSTER, NY 10509-5902
(845) 279-2995
(845) 279-3077
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016702-1
NY
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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