Individual provider · Type 1 NPI

Alisa Joan Vandomburg Scipio, OTR

Occupational Therapist · Fairfield, CT

NPI number 1326109737 Active

Practice location

1931 Black Rock Tpke, Rehabilitation Associates, Inc
Fairfield, CT 06825-3506

Mailing address

192 Alden Ave, 1st Floor
New Haven, CT 06515-2112

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X003409 (CT)
Occupational Therapist 225X00000X014962 (NY)
Pediatric Occupational Therapist 225XP0200X072-0000512 (VT)
Pediatric Occupational Therapist 225XP0200X1828 (NH)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1326109737

Alisa Joan Vandomburg Scipio, OTR's National Provider Identifier is 1326109737, issued on Dec 12, 2006. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Fairfield, CT. The record was last updated on Mar 8, 2009.