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Individual

ALYSSA NICOLE BROCKMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1057 E HENRIETTA RD STE 500, ROCHESTER, NY 14623-2655
(927) 758-5427
Mailing address
30 LITTLE BRIGGINS CIR, FAIRPORT, NY 14450-9723
(585) 489-6166

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
027215
NY
225XP0200X
Pediatric Occupational Therapist
027215
NY

Other

Enumeration date
09/29/2022
Last updated
09/29/2022
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