National Provider Identifier

Alyssa M Poole, OTR/L

Alyssa M Poole, OTR/L is listed in the NPPES registry with a primary specialty of Occupational Therapist in Fairport, NY and a listed phone number of (585) 377-4660.

NPI 1912323080Fairport, NYOccupational Therapist

Profile Overview

NPI
1912323080
Provider Type
Individual
Primary Specialty
Occupational Therapist
Enumeration Date
March 12, 2014
Last Updated
April 09, 2024

Practice Location

  • 41 O' Connor Road
  • Fairport, NY 14450

Phone: (585) 377-4660

Mailing Address

  • 4388 Jersey RD
  • Williamson, NY 14589-9737

Specialties

  • Occupational Therapist (225X00000X)
  • Community Health Worker (172V00000X)
Full Record
NPI
1912323080
Entity Type
Individual
Last Name
Poole
First Name
Alyssa
Middle Name
M
Credential
OTR/L
Mailing Street Address
4388 Jersey RD
Mailing City
Williamson
Mailing State
NY
Mailing ZIP Code
14589-9737
Mailing Country
US
Mailing Phone
(315) 576-5082
Practice Street Address
41 O' Connor Road
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450
Practice Country
US
Practice Phone
(585) 377-4660
Enumeration Date
March 12, 2014
Last Updated
April 09, 2024
Sex
Female
Sole Proprietor
No
Certification Date
April 09, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Occupational Therapist (225X00000X), Community Health Worker (172V00000X)