Individual
ALYSSA M POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
41 O' CONNOR ROAD, FAIRPORT, NY 14450
(585) 377-4660
Mailing address
4388 JERSEY RD, WILLIAMSON, NY 14589-9737
(315) 576-5082
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
017501-1
NY
225X00000X
Occupational Therapist
Primary
017501-01
NY
Other
Enumeration date
03/12/2014
Last updated
04/09/2024
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