Provider Demographics
NPI:1568114049
Name:DAROUZE, ALLISON (CTRS)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:DAROUZE
Suffix:
Gender:F
Credentials:CTRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3714 CUPID DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-6022
Mailing Address - Country:US
Mailing Address - Phone:714-745-3312
Mailing Address - Fax:
Practice Address - Street 1:3714 CUPID DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-6022
Practice Address - Country:US
Practice Address - Phone:714-745-3312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-25
Last Update Date:2022-09-16
Deactivation Date:2022-02-24
Deactivation Code:
Reactivation Date:2022-09-16
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRecreation Therapist