Provider Demographics
NPI:1134326168
Name:ALLARD, NANCY P (MA, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:P
Last Name:ALLARD
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1777 NORTH VALLEY RD
Mailing Address - Street 2:PO BOX 730
Mailing Address - City:PAOLI
Mailing Address - State:PA
Mailing Address - Zip Code:19301
Mailing Address - Country:US
Mailing Address - Phone:610-296-6725
Mailing Address - Fax:610-640-0132
Practice Address - Street 1:1777 NORTH VALLEY ROAD
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301
Practice Address - Country:US
Practice Address - Phone:610-296-6725
Practice Address - Fax:610-640-0132
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2009-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC001310L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
00067292OtherHIGHMARK BCBS