Basic Information
Provider Information
NPI: 1740792381
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FINNIGAN-ALLEN
FirstName: LILY
MiddleName: ELIZABETH
NamePrefix: MRS.
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9 CHAPMAN AVE APT 1
Address2:  
City: EASTHAMPTON
State: MA
PostalCode: 010271862
CountryCode: US
TelephoneNumber: 6039533429
FaxNumber:  
Practice Location
Address1: 151 CHRISTIAN HILL RD
Address2:  
City: GREAT BARRINGTON
State: MA
PostalCode: 012301108
CountryCode: US
TelephoneNumber: 4135284560
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/03/2017
LastUpdateDate: 11/03/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X12395MAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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