Provider Demographics
NPI:1063088474
Name:HEALY, ALYSSA ERIN (OTR)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:ERIN
Last Name:HEALY
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 1:375 BAY ST UNIT 1201
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-8765
Mailing Address - Country:US
Mailing Address - Phone:781-828-7450
Mailing Address - Fax:
Practice Address - Street 1:143 CHARDONNAY DR
Practice Address - Street 2:
Practice Address - City:EAST QUOGUE
Practice Address - State:NY
Practice Address - Zip Code:11942-3829
Practice Address - Country:US
Practice Address - Phone:631-278-0665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist