Provider Demographics
NPI:1447576897
Name:GEORGE, ALISON HEWITT (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:HEWITT
Last Name:GEORGE
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6358 EL PASEO DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95120-5327
Mailing Address - Country:US
Mailing Address - Phone:408-691-5160
Mailing Address - Fax:
Practice Address - Street 1:30 LAS COLINAS LN
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1212
Practice Address - Country:US
Practice Address - Phone:408-284-2812
Practice Address - Fax:408-284-2875
Is Sole Proprietor?:No
Enumeration Date:2010-04-09
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT7551225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist