Provider Demographics
NPI:1962497404
Name:PULVER, ALISON BURGER (MS, ATC, CSCS)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:BURGER
Last Name:PULVER
Suffix:
Gender:F
Credentials:MS, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4936 RIDERS CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5135
Mailing Address - Country:US
Mailing Address - Phone:410-581-3737
Mailing Address - Fax:
Practice Address - Street 1:4936 RIDERS CT
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5135
Practice Address - Country:US
Practice Address - Phone:410-581-3737
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer