Provider Demographics
NPI:1154478006
Name:DICARLO, ALLISON SAMMONS (MS, OTR L)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:SAMMONS
Last Name:DICARLO
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 1:10429 GRAVELLY CREEK LN
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-7900
Mailing Address - Country:US
Mailing Address - Phone:302-629-4587
Mailing Address - Fax:
Practice Address - Street 1:1 DELAWARE PL
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-1433
Practice Address - Country:US
Practice Address - Phone:302-629-4587
Practice Address - Fax:302-628-4385
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEUI-0000887225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics