Provider Demographics
NPI:1780174458
Name:GERMUNDSON, ALLISON MAHER (OTR/L)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MAHER
Last Name:GERMUNDSON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:MAHER
Other - Last Name:CORBIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2303 E 47TH ST
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:IA
Mailing Address - Zip Code:52807-1201
Mailing Address - Country:US
Mailing Address - Phone:563-579-7744
Mailing Address - Fax:563-396-1905
Practice Address - Street 1:2303 E 47TH ST
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:IA
Practice Address - Zip Code:52807-1201
Practice Address - Country:US
Practice Address - Phone:563-579-7744
Practice Address - Fax:563-396-1905
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-17
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA090239225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist