ALYSSA EMBICK

ALTON, IL
NPI1417495896
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056011148)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: MO  2015017109)
Enumeration Date2017-02-06
Last Update Date2017-02-06
Business Address
-- ALYSSA EMBICK
815 E 5TH ST
ALTON, IL 62002-6471
Phone number: 618-463-5171
Mailing Address
-- ALYSSA EMBICK
815 E 5TH ST
ALTON, IL 62002-6471
Phone number: