Provider Demographics
NPI:1407148513
Name:FOREMAN, ALLISON HOLT (OT)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:HOLT
Last Name:FOREMAN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6594 ORANGE PLANK DR
Mailing Address - Street 2:
Mailing Address - City:HIXSON
Mailing Address - State:TN
Mailing Address - Zip Code:37343-3394
Mailing Address - Country:US
Mailing Address - Phone:423-843-9511
Mailing Address - Fax:866-591-0619
Practice Address - Street 1:6594 ORANGE PLANK DR
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-3394
Practice Address - Country:US
Practice Address - Phone:423-843-9511
Practice Address - Fax:866-591-0619
Is Sole Proprietor?:No
Enumeration Date:2011-05-07
Last Update Date:2011-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOT0000002942225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist