Individual
MISS ALYSSA V. HEINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
70 WALLKILL AVE, MONTGOMERY, NY 12549-1115
(845) 249-0920
Mailing address
70 WALLKILL AVE, MONTGOMERY, NY 12549-1115
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007688-1
NY
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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