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NPI Code Detail

MEDICARE: ALLISON C BOISSEY OTR/L

MEDICARE: ALLISON C BOISSEY 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 Therapist5452NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013020627
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON C BOISSEY OTR/L
Provider Business Mailing Address
First Line : 2814 GRAY FOX RD
Second Line :
City : MONROE
State : NC
Zip : 28110-8422
Country : US
Telephone Number : 704-821-0568
Fax Number : 704-821-0570
Provider Business Practice Location Address
First Line : 2814 GRAY FOX RD
Second Line :
City : MONROE
State : NC
Zip : 28110-8422
Country : US
Telephone Number : 704-821-0568
Fax Number : 704-821-0570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 09/15/2021

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Directions to “ ALLISON C BOISSEY OTR/L” Practice Location

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