Provider Demographics
NPI:1225460413
Name:SHEEHAN, ALISON (OTR/L)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:SHEEHAN
Suffix:
Gender:F
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 1:249 STEPHENS RD
Mailing Address - Street 2:
Mailing Address - City:OLIVER SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37840-3623
Mailing Address - Country:US
Mailing Address - Phone:201-788-1388
Mailing Address - Fax:
Practice Address - Street 1:267 W END RD
Practice Address - Street 2:
Practice Address - City:ROCKWOOD
Practice Address - State:TN
Practice Address - Zip Code:37854-7041
Practice Address - Country:US
Practice Address - Phone:865-294-8550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-30
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT005961225X00000X
WAOT60389258225X00000X
VA0119009229225X00000X
TNOT6151225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist