Individual
MRS. ALICE ANN SISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
112 RIVERVIEW CIR, COLONIAL BEACH, VA 22443-4817
(540) 840-1238
Mailing address
112 RIVERVIEW CIR, COLONIAL BEACH, VA 22443-4817
(540) 840-1238
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002420
VA
225700000X
Massage Therapist
0019007687
VA
Other
Enumeration date
05/21/2013
Last updated
11/19/2020
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