=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942467014
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHRISTINE M. ALLENSON OTR/L
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/16/2008
-----------------------------------------------------
Last Update Date | 05/16/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 55 VILLAGE SQUARE DR #6
-----------------------------------------------------
City | SOUTH KINGSTOWN
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02879-8248
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-284-4357
-----------------------------------------------------
Fax | 401-284-4358
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 740
-----------------------------------------------------
City | SAUNDERSTOWN
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02874-0740
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-284-4357
-----------------------------------------------------
Fax | 401-284-4358
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | OT00798
-----------------------------------------------------
License Number State | RI
-----------------------------------------------------