Provider Demographics
NPI:1972994200
Name:DREYER, ALLISON JOY (OTR/L)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:JOY
Last Name:DREYER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:JOY
Other - Last Name:CROUCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1130 SNOW BRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-8411
Mailing Address - Country:US
Mailing Address - Phone:336-310-5828
Mailing Address - Fax:888-511-1230
Practice Address - Street 1:1130 SNOW BRIDGE LN
Practice Address - Street 2:
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-8411
Practice Address - Country:US
Practice Address - Phone:336-310-5828
Practice Address - Fax:888-511-1230
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-09
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9571225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1699187385Medicaid