Provider Demographics
NPI:1316233729
Name:BOCHMAN, ALISHA KIM (COTA)
Entity type:Individual
Prefix:MRS
First Name:ALISHA
Middle Name:KIM
Last Name:BOCHMAN
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:423 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DANKIRK
Mailing Address - State:NY
Mailing Address - Zip Code:14048-2720
Mailing Address - Country:US
Mailing Address - Phone:716-366-3417
Mailing Address - Fax:716-366-3568
Practice Address - Street 1:423 MAIN ST
Practice Address - Street 2:
Practice Address - City:DANKIRK
Practice Address - State:NY
Practice Address - Zip Code:14048-2720
Practice Address - Country:US
Practice Address - Phone:716-366-3417
Practice Address - Fax:716-366-3568
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007634-1224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant