Provider Demographics
NPI:1720573306
Name:MCGINNIS, ALLISON ROSE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:ROSE
Last Name:MCGINNIS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1726 DAVENPORT DR
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-4228
Mailing Address - Country:US
Mailing Address - Phone:727-493-2393
Mailing Address - Fax:844-714-2504
Practice Address - Street 1:1726 DAVENPORT DR
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-4228
Practice Address - Country:US
Practice Address - Phone:727-493-2393
Practice Address - Fax:844-714-2504
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT19366225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics