Provider Demographics
NPI:1346659414
Name:KING, ALISON (OTR/L, CHT)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:KING
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:DAMICO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5215 LOUGHBORO RD NW STE 200
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-2625
Mailing Address - Country:US
Mailing Address - Phone:202-787-5260
Mailing Address - Fax:202-787-5606
Practice Address - Street 1:5215 LOUGHBORO RD NW STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-2625
Practice Address - Country:US
Practice Address - Phone:202-787-5260
Practice Address - Fax:202-787-5606
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119-008731225X00000X
FLOTT16506225X00000X
MD07938225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOTT16506OtherOT LICENSE