Individual
ALISSA A PERCIVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3325 POCAHONTAS RD, BAKER CITY, OR 97814-1464
(541) 523-6461
Mailing address
7 JEFFREY LN, BRIDGEWATER, NJ 08807-1405
(908) 635-7882
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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