Provider Demographics
NPI:1659797975
Name:THOUSAND-LIN, ALEESA MARIE (MS/ BS OTR/L)
Entity Type:Individual
Prefix:
First Name:ALEESA
Middle Name:MARIE
Last Name:THOUSAND-LIN
Suffix:
Gender:F
Credentials:MS/ BS OTR/L
Other - Prefix:
Other - First Name:ALEESA
Other - Middle Name:MARIE
Other - Last Name:THOUSAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS/ BS OTR/L
Mailing Address - Street 1:838 44TH ST
Mailing Address - Street 2:APT 1R
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:838 44TH ST
Practice Address - Street 2:APT 1R
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220
Practice Address - Country:US
Practice Address - Phone:315-558-2091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-11
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017658225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation