Provider Demographics
NPI:1811019037
Name:DONOHUE, ALISON MONTGOMERY (OT)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:MONTGOMERY
Last Name:DONOHUE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 SHERIDAN RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2228
Mailing Address - Country:US
Mailing Address - Phone:901-573-6264
Mailing Address - Fax:
Practice Address - Street 1:41 SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2228
Practice Address - Country:US
Practice Address - Phone:901-573-6264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05864225X00000X
SC3465225X00000X
NC7083225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist