| NPI | 1659797975 |
|---|---|
| Former Name | ALEESA MARIE THOUSAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 017658) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2021-08-19 |