| NPI | 1407372659 |
|---|---|
| Former Name | ALYSSA REA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC015434) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WV 2099) |
| Enumeration Date | 2017-08-19 |
| Last Update Date | 2020-05-19 |