Basic Information
Provider Information
NPI: 1174725485
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MARSH
FirstName: ALISON
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: OTR
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 11364 S SHAWNEE HEIGHTS RD
Address2:  
City: OVERBROOK
State: KS
PostalCode: 665249242
CountryCode: US
TelephoneNumber: 7852501892
FaxNumber:  
Practice Location
Address1: 2200 SW GAGE BLVD
Address2:  
City: TOPEKA
State: KS
PostalCode: 666220001
CountryCode: US
TelephoneNumber: 7853503111
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/31/2007
LastUpdateDate: 06/25/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X5201005170MIN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 
225X00000X17-02786KSY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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