Individual
ALEXIS GREER WANCHISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
666 REYNOLDS RD, JOHNSON CITY, NY 13790-1313
(607) 930-1000
Mailing address
3717 HOOVER AVE, ENDWELL, NY 13760-3656
(607) 205-0118
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
029452
NY
Other
Enumeration date
09/05/2024
Last updated
09/10/2024
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