Provider Demographics
NPI:1730491663
Name:REISER, ALICIA MARIE (MS OTR/L)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:MARIE
Last Name:REISER
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:MARIE
Other - Last Name:ZMIJEWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:2380 SCHOENERSVILLE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-3602
Mailing Address - Country:US
Mailing Address - Phone:484-215-4690
Mailing Address - Fax:610-419-0312
Practice Address - Street 1:2380 SCHOENERSVILLE RD STE 200
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-3602
Practice Address - Country:US
Practice Address - Phone:484-215-4690
Practice Address - Fax:610-419-0312
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OROC008254225XN1300X
PAOC008254225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation