Provider Demographics
NPI:1942218060
Name:KRINSKY, ALISA LORI (MS, CTRS, RTC)
Entity Type:Individual
Prefix:MRS
First Name:ALISA
Middle Name:LORI
Last Name:KRINSKY
Suffix:
Gender:F
Credentials:MS, CTRS, RTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20891 COMANCHE TRL
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95033-8874
Mailing Address - Country:US
Mailing Address - Phone:408-353-1700
Mailing Address - Fax:408-353-1700
Practice Address - Street 1:3801 MIRANDA AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1207
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:650-852-3455
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2795-T (CERTIFICATE)225800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist