Provider Demographics
NPI:1174804363
Name:ATWOOD, ALLISON MARGARET (MS, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:MARGARET
Last Name:ATWOOD
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 SHRADER ST APT 3
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-4205
Mailing Address - Country:US
Mailing Address - Phone:415-577-0990
Mailing Address - Fax:415-664-7497
Practice Address - Street 1:585 8TH AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3714
Practice Address - Country:US
Practice Address - Phone:415-577-0990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7459174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist