| NPI | 1609444546 |
|---|---|
| Former Name | ALYSSA BLUMENBERG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 6874) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MS OT-3869) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2021-07-28 |