Provider Demographics
NPI:1023137056
Name:GARRISON, ALLYSON RENEE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ALLYSON
Middle Name:RENEE
Last Name:GARRISON
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 1:1255 SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:DUNEDIN
Mailing Address - State:FL
Mailing Address - Zip Code:34698-2722
Mailing Address - Country:US
Mailing Address - Phone:901-210-1640
Mailing Address - Fax:
Practice Address - Street 1:1255 SAINT ANDREWS DR
Practice Address - Street 2:
Practice Address - City:DUNEDIN
Practice Address - State:FL
Practice Address - Zip Code:34698-2722
Practice Address - Country:US
Practice Address - Phone:901-210-1640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNOT0000003483225X00000X
FLOT18339225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist