Basic Information
| Provider Information | |||||||||
| NPI: | 1003015934 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LOVEJOY | ||||||||
| FirstName: | ALISON | ||||||||
| MiddleName: | DUNLAP | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | COTA/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 17 OLDE COUNTRY VILLAGE RD | ||||||||
| Address2: | |||||||||
| City: | LONDONDERRY | ||||||||
| State: | NH | ||||||||
| PostalCode: | 030533822 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6034323485 | ||||||||
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| Practice Location | |||||||||
| Address1: | 268C MAMMOTH RD | ||||||||
| Address2: | |||||||||
| City: | LONDONDERRY | ||||||||
| State: | NH | ||||||||
| PostalCode: | 030533003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6034326920 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/11/2007 | ||||||||
| LastUpdateDate: | 07/11/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 224Z00000X | 0444 | NH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant |
No ID Information.