Provider Demographics
NPI:1396227419
Name:QUEVILLON, ALLISON LEIGH (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:LEIGH
Last Name:QUEVILLON
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 1:472 MURPHY CREEK DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3122
Mailing Address - Country:US
Mailing Address - Phone:860-465-6998
Mailing Address - Fax:
Practice Address - Street 1:12061 TEJON ST STE 300
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-2325
Practice Address - Country:US
Practice Address - Phone:303-665-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0005328225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COOT.0005328OtherDEPARTMENT OF REGULATORY AGENCIES