Provider Demographics
NPI:1942996640
Name:MCALLISTER, DYLAN (OTR/L)
Entity Type:Individual
Prefix:
First Name:DYLAN
Middle Name:
Last Name:MCALLISTER
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:659 CODDING HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSON
Mailing Address - State:VT
Mailing Address - Zip Code:05656-9683
Mailing Address - Country:US
Mailing Address - Phone:802-730-8217
Mailing Address - Fax:
Practice Address - Street 1:132 FOOTE BROOK RD
Practice Address - Street 2:
Practice Address - City:JOHNSON
Practice Address - State:VT
Practice Address - Zip Code:05656-9683
Practice Address - Country:US
Practice Address - Phone:802-730-8217
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist