Provider Demographics
NPI:1437515137
Name:ZIEGLER, ALLISON (OTA/L)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:ZIEGLER
Suffix:
Gender:F
Credentials:OTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 GRACELAWN DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5512
Mailing Address - Country:US
Mailing Address - Phone:615-973-0434
Mailing Address - Fax:
Practice Address - Street 1:1021 GRACELAWN DR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5512
Practice Address - Country:US
Practice Address - Phone:615-973-0434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-11
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2461224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant