Provider Demographics
NPI:1356519441
Name:YOUNG, ALLISON COLLEEN (MS OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:COLLEEN
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:MISS
Other - First Name:ALLISON
Other - Middle Name:COLLEEN
Other - Last Name:DILLON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:4759 COACHFORD DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-7334
Mailing Address - Country:US
Mailing Address - Phone:614-378-9079
Mailing Address - Fax:614-776-4037
Practice Address - Street 1:4759 COACHFORD DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-7334
Practice Address - Country:US
Practice Address - Phone:614-378-9079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-12
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT 006532225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist