Provider Demographics
NPI:1437657533
Name:HELLER-ONO, ALISON R (MSPT, CPDM, CPE, CMC)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:R
Last Name:HELLER-ONO
Suffix:
Gender:F
Credentials:MSPT, CPDM, CPE, CMC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 17TH ST STE F
Mailing Address - Street 2:
Mailing Address - City:PACIFIC GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:93950-7201
Mailing Address - Country:US
Mailing Address - Phone:831-648-8724
Mailing Address - Fax:831-648-8330
Practice Address - Street 1:170 17TH ST STE F
Practice Address - Street 2:
Practice Address - City:PACIFIC GROVE
Practice Address - State:CA
Practice Address - Zip Code:93950-7201
Practice Address - Country:US
Practice Address - Phone:831-648-8724
Practice Address - Fax:831-648-8330
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-24
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT168902251E1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251E1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistErgonomics