Provider Demographics
NPI:1255747853
Name:ALFORD, ALISHA M (OTR)
Entity type:Individual
Prefix:MS
First Name:ALISHA
Middle Name:M
Last Name:ALFORD
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 JOHN PAUL CT
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14206-1766
Mailing Address - Country:US
Mailing Address - Phone:716-400-7447
Mailing Address - Fax:
Practice Address - Street 1:94 JOHN PL CT
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14206
Practice Address - Country:US
Practice Address - Phone:716-400-7447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-03
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018906-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist