Provider Demographics
NPI:1932334737
Name:ALGER, DEBRA JEAN (COTA/L)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:JEAN
Last Name:ALGER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2921 21ST AVE
Mailing Address - Street 2:APARTMENT A6
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-2667
Mailing Address - Country:US
Mailing Address - Phone:718-726-1882
Mailing Address - Fax:
Practice Address - Street 1:2921 21ST AVE
Practice Address - Street 2:APARTMENT A6
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-2667
Practice Address - Country:US
Practice Address - Phone:718-726-1882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-21
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003633-1224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant