Provider Demographics
NPI:1548440761
Name:BUCHANAN, ALISON STEPHENS (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:STEPHENS
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3780 POLO CLUB BLVD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-8532
Mailing Address - Country:US
Mailing Address - Phone:859-699-6993
Mailing Address - Fax:
Practice Address - Street 1:3780 POLO CLUB BLVD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-8532
Practice Address - Country:US
Practice Address - Phone:859-699-6993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-R3288225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics