Individual
ALYSSA ANN CULICERTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1778 SMITH RD, CHARLESTON, WV 25314-2278
(130) 422-2332
Mailing address
1778 SMITH RD, CHARLESTON, WV 25314-2278
(130) 422-2332
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1549
WV
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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