Provider Demographics
NPI:1306058342
Name:JOE, ALLISON CHRISTINE (OTRL)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:CHRISTINE
Last Name:JOE
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 BUSH ST
Mailing Address - Street 2:APT. #11
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-1300
Mailing Address - Country:US
Mailing Address - Phone:650-965-1808
Mailing Address - Fax:
Practice Address - Street 1:300 PASTEUR DR # H3124
Practice Address - Street 2:DEPARTMENT OF REHABILITATION SERVICES
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-723-6701
Practice Address - Fax:650-725-5433
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 7953225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist