Most Relevant Information
Provider Data
NPI Number: | 1003541160 |
Provider Name: | ALLISON ANNE ALLEN OT/L |
Entity Type: | Individual |
Taxonomy Code: | 225X00000X |
Specialty: | Occupational Therapist |
License Number: | OTH-002604 |
Most Important Dates
Enumeration Date: | 07/21/2022 |
Last Updated: | 07/21/2022 |
Provider Practice Location
3160 STILLWATER DR
PRESCOTT
AZ
863057151
Practice Location Phone/Fax
Phone: | 9289250553 |
Fax: | 9287767753 |
Provider Mailing Location
3160 STILLWATER DR
PRESCOTT
AZ
863057151
Provider Mailing Phone/Fax
Phone: | 9287769285 |
Fax: | 9287767753 |