Provider Demographics
NPI:1285839514
Name:ALLCORN, ALISON CLARE (OTR)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:CLARE
Last Name:ALLCORN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6725 SKYLARK RD
Mailing Address - Street 2:
Mailing Address - City:PFAFFTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27040-7421
Mailing Address - Country:US
Mailing Address - Phone:336-922-7046
Mailing Address - Fax:
Practice Address - Street 1:1000 SALEMTOWNE DR
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3294
Practice Address - Country:US
Practice Address - Phone:336-776-2300
Practice Address - Fax:336-776-2300
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3066225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist