Individual
MISS ALYSSA HENRY HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 N MAIN ST, FAIRPORT, NY 14450-1434
(585) 377-2230
Mailing address
149 N MAIN ST, FAIRPORT, NY 14450-1434
(585) 377-2230
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023862
NY
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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