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NPI Code Detail

MEDICARE: MISS ALLISON ALVENA SHUNK MS, OTRL

MEDICARE: MISS ALLISON ALVENA SHUNK MS, OTRL
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 Therapist17933NC
2225X00000XOccupational Therapist5201011253MI

General Provider Information

NPI Number : 1942873393
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ALLISON ALVENA SHUNK MS, OTRL
Provider Business Mailing Address
First Line : 3310 N DAVIDSON ST APT 224
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-1196
Country : US
Telephone Number : 989-808-3891
Fax Number :
Provider Business Practice Location Address
First Line : 101 E W T HARRIS BLVD STE 5001
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-3574
Country : US
Telephone Number : 704-863-5780
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2021
Last Update Date : 05/25/2026

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