Individual
MS. ALYCIA MARIE DEZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8101 STATE HIGHWAY 68, OGDENSBURG, NY 13669-4403
(315) 393-3070
(315) 393-3014
Mailing address
8101 STATE HIGHWAY 68, OGDENSBURG, NY 13669-4403
(315) 393-3070
(315) 393-3014
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
015947-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015947-1
OCCUPATIONAL THERAPIST
NY
Enumeration date
10/05/2010
Last updated
01/26/2017
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