Provider Demographics
NPI:1760702948
Name:FISHER, ALLISON EVE (OT)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:EVE
Last Name:FISHER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 S BROADWAY LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-4004
Mailing Address - Country:US
Mailing Address - Phone:914-751-0406
Mailing Address - Fax:914-207-2286
Practice Address - Street 1:65 S BROADWAY LOWR LEVER
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-4004
Practice Address - Country:US
Practice Address - Phone:914-751-0406
Practice Address - Fax:914-207-2286
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-10
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016160225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist