National Provider Identifier
Aliza Marie Dewilde, OTRL
Aliza Marie Dewilde, OTRL is listed in the NPPES registry with a primary specialty of Occupational Therapist in Newark, NY and a listed phone number of (315) 332-2722.
Profile Overview
- NPI
- 1033687264
- Provider Type
- Individual
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- November 06, 2018
- Last Updated
- November 06, 2018
Practice Location
- 100 Sunset Dr
- Newark, NY 14513-1068
Phone: (315) 332-2722
Specialties
- Occupational Therapist (225X00000X)
Full Record
- NPI
- 1033687264
- Entity Type
- Individual
- Last Name
- Dewilde
- First Name
- Aliza
- Middle Name
- Marie
- Credential
- OTRL
- Mailing Street Address
- 100 Sunset Dr
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-1068
- Mailing Country
- US
- Mailing Phone
- (315) 332-2722
- Practice Street Address
- 100 Sunset Dr
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1068
- Practice Country
- US
- Practice Phone
- (315) 332-2722
- Enumeration Date
- November 06, 2018
- Last Updated
- November 06, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Occupational Therapist (225X00000X)