Provider Demographics
NPI:1083274039
Name:HILTON, ALLISON SUTTON
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:SUTTON
Last Name:HILTON
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 1:2911 MIDTOWN WAY APT 308
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-5043
Mailing Address - Country:US
Mailing Address - Phone:252-425-1637
Mailing Address - Fax:
Practice Address - Street 1:2911 MIDTOWN WAY APT 308
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-5043
Practice Address - Country:US
Practice Address - Phone:252-425-1637
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-20
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10407224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant