Provider Demographics
NPI:1083046486
Name:BAKER, ALLISON ESTES (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:ESTES
Last Name:BAKER
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:521 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1701
Mailing Address - Country:US
Mailing Address - Phone:831-915-5027
Mailing Address - Fax:
Practice Address - Street 1:521 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1701
Practice Address - Country:US
Practice Address - Phone:831-915-5027
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC012298225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist