Provider Demographics
NPI:1316944366
Name:TAYLOR, ALISON JENNIFER (OTR/L,CHT,CKTI)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:JENNIFER
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:OTR/L,CHT,CKTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:630-296-2223
Mailing Address - Fax:630-759-9510
Practice Address - Street 1:4100 FAIRWAY DR
Practice Address - Street 2:STE 400
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-6525
Practice Address - Country:US
Practice Address - Phone:972-394-3325
Practice Address - Fax:972-394-3326
Is Sole Proprietor?:No
Enumeration Date:2005-07-06
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002056225XH1200X
TX112012225XH1200X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand