Healthcare Provider Details

I. General information

NPI: 1942467014
Provider Name (Legal Business Name): CHRISTINE M. ALLENSON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2008
Last Update Date: 05/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 VILLAGE SQUARE DR #6
SOUTH KINGSTOWN RI
02879-8248
US

IV. Provider business mailing address

PO BOX 740
SAUNDERSTOWN RI
02874-0740
US

V. Phone/Fax

Practice location:
  • Phone: 401-284-4357
  • Fax: 401-284-4358
Mailing address:
  • Phone: 401-284-4357
  • Fax: 401-284-4358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberOT00798
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: