Provider Demographics
NPI:1780180463
Name:CARLEY-THOMS, ALLISON M (OTRL)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:M
Last Name:CARLEY-THOMS
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:MARIE
Other - Last Name:CARLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ALLISON CARLEY, OTRL
Mailing Address - Street 1:5386 E TYLER RD
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:MI
Mailing Address - Zip Code:48847-9442
Mailing Address - Country:US
Mailing Address - Phone:989-763-8291
Mailing Address - Fax:
Practice Address - Street 1:1200 WRIGHT AVE
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:MI
Practice Address - Zip Code:48801-1133
Practice Address - Country:US
Practice Address - Phone:989-463-3141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201009851225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist