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Individual
SIMONE ALLEN
Active
Individual
SIMONE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
63016867
NY
225XM0800X
Mental Health Occupational Therapist
63016867
NY
Other
Enumeration date
01/10/2011
Last updated
07/08/2013
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