Provider Demographics
NPI:1083218879
Name:OLIVEIRA, ALLISON N (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:N
Last Name:OLIVEIRA
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:NICOLE
Other - Last Name:MARUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:1000 TERRAIN ST APT 1302
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-8822
Mailing Address - Country:US
Mailing Address - Phone:908-448-7068
Mailing Address - Fax:
Practice Address - Street 1:30 WORTHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-3259
Practice Address - Country:US
Practice Address - Phone:800-416-4441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00962900225X00000X
PAOC017369225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist