Provider Demographics
NPI:1942446000
Name:HALE, ALISON BOOTHBY (BS OCCUPATIONAL THER)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:BOOTHBY
Last Name:HALE
Suffix:
Gender:F
Credentials:BS OCCUPATIONAL THER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 SHEFFIELD ROAD
Mailing Address - Street 2:
Mailing Address - City:AMENIA
Mailing Address - State:NY
Mailing Address - Zip Code:12501-5629
Mailing Address - Country:US
Mailing Address - Phone:845-373-9380
Mailing Address - Fax:
Practice Address - Street 1:23 SPACKENKILL ROAD
Practice Address - Street 2:
Practice Address - City:DOUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12603
Practice Address - Country:US
Practice Address - Phone:845-462-0079
Practice Address - Fax:845-462-0081
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-19
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000030-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist