Individual
ALLISON SUZANNE BOISSEVAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
650 CLARK WAY, PALO ALTO, CA 94304-2300
(650) 688-3621
Mailing address
650 CLARK WAY, PALO ALTO, CA 94304-2300
(650) 688-3621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT 10353
CA
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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