Provider Demographics
NPI:1013147677
Name:THOMPSON, ALISON RENEE (MSOT, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:RENEE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MSOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 S BROADWAY
Mailing Address - Street 2:4B
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-4013
Mailing Address - Country:US
Mailing Address - Phone:202-246-5680
Mailing Address - Fax:
Practice Address - Street 1:300 CORPORATE BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701
Practice Address - Country:US
Practice Address - Phone:914-294-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-16
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015688225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics