Provider Demographics
NPI:1003673542
Name:BURT, ALISON M (OTD, OTR)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:M
Last Name:BURT
Suffix:
Gender:F
Credentials:OTD, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2920 E RHORER RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47401-8858
Mailing Address - Country:US
Mailing Address - Phone:812-325-7398
Mailing Address - Fax:
Practice Address - Street 1:920 IN-46
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IN
Practice Address - Zip Code:47460
Practice Address - Country:US
Practice Address - Phone:812-829-2331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology