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Individual
MR. ERIC JOHN ALLEN
Active
Individual
MR. ERIC JOHN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, SCS, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03084
LICENSE
IA
01
—
070012778
LICENSE
IL
Enumeration date
07/20/2006
Last updated
03/17/2026
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