Provider Demographics
NPI:1801233747
Name:WORKMAN, ALICE ANN (OTR/L)
Entity type:Individual
Prefix:MS
First Name:ALICE
Middle Name:ANN
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35547 KASHMIR LN
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-4656
Mailing Address - Country:US
Mailing Address - Phone:302-226-2913
Mailing Address - Fax:302-827-4382
Practice Address - Street 1:1632 SAVANNAH RD
Practice Address - Street 2:SUITE 5
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-1659
Practice Address - Country:US
Practice Address - Phone:302-644-1220
Practice Address - Fax:302-827-4382
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-02
Last Update Date:2013-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEU10000949225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist