Provider Demographics
NPI:1861848095
Name:DUGGAN, ALLISON SUZANNE (MS, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:SUZANNE
Last Name:DUGGAN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 PERSEI PL APT 116
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-8643
Mailing Address - Country:US
Mailing Address - Phone:301-938-5566
Mailing Address - Fax:
Practice Address - Street 1:45 W GUDE DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-1293
Practice Address - Country:US
Practice Address - Phone:301-938-5566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-06
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCOT010000951225X00000X
MD08205225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist