Provider Demographics
NPI:1942061882
Name:EBNER, ALLISON ELIZABETH (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:ELIZABETH
Last Name:EBNER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:ELIZABETH
Other - Last Name:REHS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:604 CHASE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1336
Mailing Address - Country:US
Mailing Address - Phone:330-472-8164
Mailing Address - Fax:
Practice Address - Street 1:604 CHASE RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1336
Practice Address - Country:US
Practice Address - Phone:330-472-8164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT007678225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist