Individual
TOM ALEX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
132 SPRING ST, PORT CHESTER, NY 10573-4886
(201) 467-6920
Mailing address
132 SPRING ST, PORT CHESTER, NY 10573-4886
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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