Individual
MRS. ALYSSA ANN OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
75 MALER LN, PATCHOGUE, NY 11772
(631) 987-4563
(631) 456-5879
Mailing address
75 MALER LN, PATCHOGUE, NY 11772-3558
(631) 987-4563
(631) 456-5879
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0133351-1
NY
Other
Enumeration date
01/30/2007
Last updated
01/13/2009
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