Provider Demographics
NPI:1013610591
Name:TONER, ALLY SETZER (COTA/L)
Entity Type:Individual
Prefix:
First Name:ALLY
Middle Name:SETZER
Last Name:TONER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 15TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-2454
Mailing Address - Country:US
Mailing Address - Phone:828-448-9636
Mailing Address - Fax:
Practice Address - Street 1:107 MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-4505
Practice Address - Country:US
Practice Address - Phone:828-437-8760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15801224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC14159876OtherBLUE CROSS BLUE SHIELD