Most Relevant Information
Provider Data
| NPI Number: | 1003649443 |
| Provider Name: | ALYSSA PAIGE ROMAN OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/21/2024 |
| Last Updated: | 08/21/2024 |
Provider Practice Location
4040 CANNONBALL TRL
YORKVILLE
IL
605604761
Practice Location Phone/Fax
| Phone: | 6303810201 |
| Fax: |
Provider Mailing Location
111 KEVIN LN
OSWEGO
IL
605439115
Provider Mailing Phone/Fax
| Phone: | 6309152988 |
| Fax: |