Provider Demographics
NPI:1043511397
Name:KATZ, ALISON JOY
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:JOY
Last Name:KATZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BOYLSTON ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467-2012
Mailing Address - Country:US
Mailing Address - Phone:617-278-8633
Mailing Address - Fax:617-278-8625
Practice Address - Street 1:330 BROOKLINE AVE
Practice Address - Street 2:SHAPIRO 2ND FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5400
Practice Address - Country:US
Practice Address - Phone:617-667-9229
Practice Address - Fax:617-667-9204
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17936225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist