Individual
ALYSSA SMITH IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6401 MARTINS MILL RD, PHILADELPHIA, PA 19111-5304
(215) 490-9903
Mailing address
220 REED ST, PHILADELPHIA, PA 19147-6037
(215) 876-5169
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC016115
PA
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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