Provider Demographics
NPI:1174999692
Name:DOAN, ALLISON PRIBBLE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:PRIBBLE
Last Name:DOAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WYNNE
Mailing Address - State:AR
Mailing Address - Zip Code:72396-2540
Mailing Address - Country:US
Mailing Address - Phone:870-588-5860
Mailing Address - Fax:
Practice Address - Street 1:750 BRIDGES STREET
Practice Address - Street 2:SUITE A
Practice Address - City:WYNNE
Practice Address - State:AR
Practice Address - Zip Code:72396-2024
Practice Address - Country:US
Practice Address - Phone:870-630-2328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-19
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR2810225XG0600X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology