Provider Demographics
NPI:1417292103
Name:ALLISON, CARA ANNE (MS)
Entity Type:Individual
Prefix:MRS
First Name:CARA
Middle Name:ANNE
Last Name:ALLISON
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Gender:F
Credentials:MS
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Mailing Address - Street 1:31 LAKE STREET
Mailing Address - Street 2:CRITERION WAHUSETT EARLY INTERVENTION PROGRAM
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440
Mailing Address - Country:US
Mailing Address - Phone:978-632-4432
Mailing Address - Fax:978-632-6022
Practice Address - Street 1:31 LAKE STREET
Practice Address - Street 2:CRITERION WAHUSETT EARLY INTERVENTION PROGRAM
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440
Practice Address - Country:US
Practice Address - Phone:978-632-4432
Practice Address - Fax:978-632-6022
Is Sole Proprietor?:No
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist