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Individual
MARTIN ALLEN FEES
Active
Individual
MARTIN ALLEN FEES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010619L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016893630004
—
PA
01
—
01855701
CAPITAL BLUECROSS
PA
01
—
0681723000
PERSONAL CHOICE
PA
01
—
2131536
AETNA
PA
01
—
4411992
AETNA
PA
01
—
474461
HIGHMARK BLUE SHIELD
PA
01
—
54496403
CAREFIRST BLUE SHIELD
PA
01
—
T7090002
CAREFIRST
PA
Enumeration date
04/10/2006
Last updated
08/11/2009
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