Individual provider · Type 1 NPI
Alton Jolyon Brisport
Hand Occupational Therapist · Albany, NY
NPI number
1790794733
Active
Practice location
113 Holland Ave
Albany, NY 12208-3410
Mailing address
150 Manchester Rd
Schenectady, NY 12304-3903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hand Occupational Therapist Primary | 225XH1200X | 004751-1/1021100057 (NY) |
Hand Occupational Therapist: Definition to come...
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About NPI 1790794733
Alton Jolyon Brisport's National Provider Identifier is 1790794733, issued on Aug 7, 2006. The primary taxonomy on file is Hand Occupational Therapist (225XH1200X), and the practice location is in Albany, NY. The record was last updated on Jul 8, 2007.