Provider Demographics
NPI:1821899386
Name:ONDER, ALYSON NICOLE (OTR/L)
Entity type:Individual
Prefix:
First Name:ALYSON
Middle Name:NICOLE
Last Name:ONDER
Suffix:
Gender:
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 1:130 NORTHBROOK LN APT 103
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-1483
Mailing Address - Country:US
Mailing Address - Phone:814-880-1958
Mailing Address - Fax:
Practice Address - Street 1:330 INNOVATION BLVD FL 2
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-6611
Practice Address - Country:US
Practice Address - Phone:814-880-1958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC020457225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty