Individual
ALYSSA JANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
18 BROAD ST, JOHNSON CITY, NY 13790
(607) 798-7117
Mailing address
18 BROAD ST, JOHNSON CITY, NY 13790-2106
(607) 798-7117
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023189
NY
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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