ALISA DOMINIQUE FOSMIRE

SYRACUSE, NY
NPI1861035321
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: NY  024168)
Enumeration Date2019-10-28
Last Update Date2019-10-28
Business Address
Mrs. ALISA DOMINIQUE FOSMIRE OTR/L
750 E ADAMS ST
SYRACUSE, NY 13210-2306
Phone number: 315-464-2302
Mailing Address
Mrs. ALISA DOMINIQUE FOSMIRE OTR/L
8848 MIDLAKE MEADOWS DR
BRIDGEPORT, NY 13030-9726
Phone number: 520-309-5946
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