Individual
ALIA FREDERICK SUNDERRAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
25 BRYDON WAY, WESTBROOK, ME 04092-3678
(661) 205-7852
Mailing address
25 BRYDON WAY, WESTBROOK, ME 04092-3678
(661) 205-7852
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
3693
CA
225X00000X
Occupational Therapist
Primary
OT4116
ME
Other
Enumeration date
06/14/2016
Last updated
07/14/2021
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