Healthcare Provider Details

I. General information

NPI: 1073820494
Provider Name (Legal Business Name): ALICE HILLER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALICE CURLEY OTR/L

II. Dates (important events)

Enumeration Date: 09/07/2010
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5604 CANYONSIDE RD
LA CRESCENTA CA
91214-1501
US

IV. Provider business mailing address

5604 CANYONSIDE RD
LA CRESCENTA CA
91214-1501
US

V. Phone/Fax

Practice location:
  • Phone: 401-339-2251
  • Fax:
Mailing address:
  • Phone: 401-339-2251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number015541-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTT.200722
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number20036
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: