Provider Demographics
NPI:1881029940
Name:POULIOT, ALISON (MS OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:
Last Name:POULIOT
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:
Other - Last Name:HUGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:4688 4TH STREET
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-0597
Mailing Address - Country:US
Mailing Address - Phone:609-516-9385
Mailing Address - Fax:
Practice Address - Street 1:4688 4TH STREET
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-0597
Practice Address - Country:US
Practice Address - Phone:609-516-9385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-09
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.005079225X00000X
NJ46TR00610300225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist