Individual
ALLYSON ELIZABETH COLUCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
120 WEST 103 STREET, NEW YORK, NY 10025
(212) 870-4715
Mailing address
113 WASHINGTON ST APT 4, HOBOKEN, NJ 07030-4608
(516) 313-7485
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
018477
NY
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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