Provider Demographics
NPI:1821725227
Name:SZYMCZYK, ALYSSA M (OTR/L)
Entity Type:Individual
Prefix:
First Name:ALYSSA
Middle Name:M
Last Name:SZYMCZYK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:LUDLOW
Mailing Address - State:MA
Mailing Address - Zip Code:01056-3508
Mailing Address - Country:US
Mailing Address - Phone:413-636-1327
Mailing Address - Fax:
Practice Address - Street 1:2387 BOSTON RD
Practice Address - Street 2:
Practice Address - City:WILBRAHAM
Practice Address - State:MA
Practice Address - Zip Code:01095-1246
Practice Address - Country:US
Practice Address - Phone:413-284-3527
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist