MEDICARE: ALISON YOUNG SLEIGHT M.S, 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
1	225XP0200X	Pediatric Occupational Therapist	19074	CA
2	225X00000X	Occupational Therapist	19074	CA

General Provider Information

NPI Number	:	1255796272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON YOUNG SLEIGHT M.S, OTR/L

Provider Business Mailing Address
First Line	:	2801 OCEAN PARK BLVD # 2086
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90405-2905
Country	:	US
Telephone Number	:	323-657-3515
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 OCEAN PARK BLVD # 2086
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90405-2905
Country	:	US
Telephone Number	:	323-657-3515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2015
Last Update Date	:	04/22/2024

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