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NPI Code Detail

MEDICARE: BROOKE G ALLISON OTR/L

MEDICARE: BROOKE G ALLISON OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT4534ME

General Provider Information

NPI Number : 1710723440
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROOKE G ALLISON OTR/L
Provider Business Mailing Address
First Line : 515 MITCHELL RD
Second Line :
City : CAPE ELIZABETH
State : ME
Zip : 04107-1623
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 22 BRAMHALL ST
Second Line :
City : PORTLAND
State : ME
Zip : 04102-3134
Country : US
Telephone Number : 207-662-0111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2024
Last Update Date : 12/15/2025

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Directions to “ BROOKE G ALLISON OTR/L” Practice Location

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