Individual
ALYSSA ESTELLE HERBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3767 DELAWARE AVE, KENMORE, NY 14217-1040
(716) 874-6175
Mailing address
10 MAPLE DR, BOWMANSVILLE, NY 14026-1030
(716) 560-2921
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
63-P136600-01
NY
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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