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NPI 1346124252

NPI 1346124252 : ALYSSA NICOLE GOTTSCHLING OTD, OTR/L : STATEN ISLAND, NY

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General NPI Number Information
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    NPI Number           |    1346124252
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    Entity Type          |    Individual 
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    Provider Name        |    ALYSSA NICOLE GOTTSCHLING OTD, OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/04/2025
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    Last Update Date     |    08/06/2025
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Provider Practice Location Address
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    Address Line         |    3391 RICHMOND AVE 
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    City                 |    STATEN ISLAND
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    State                |    NY
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    Zip                  |    10312-2025
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    Country              |    US
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    Telephone            |    718-608-9170
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2238 BOSTON RD 
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    City                 |    HINCKLEY
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    State                |    OH
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    Zip                  |    44233-9619
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    Country              |    US
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    Telephone            |    440-731-0352
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    OT013403
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    030358
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    License Number State |    NY
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