| NPI | 1063820827 |
|---|---|
| Former Name | ALYSSA M TRISCUIT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MT 3910) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MT 3910) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2022-01-31 |