Provider Demographics
NPI:1720556996
Name:ALLISON, DARCY (OTR/L)
Entity Type:Individual
Prefix:
First Name:DARCY
Middle Name:
Last Name:ALLISON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4726 WILLOUGHCROFT RD
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-5704
Mailing Address - Country:US
Mailing Address - Phone:626-384-0019
Mailing Address - Fax:
Practice Address - Street 1:2108 LANDER RD
Practice Address - Street 2:
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-4137
Practice Address - Country:US
Practice Address - Phone:440-443-0345
Practice Address - Fax:440-443-0767
Is Sole Proprietor?:No
Enumeration Date:2018-11-06
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT.008946225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist