Individual
MRS. KELLEIGH ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
14976 BURBANK RD, BURBANK, OH 44214-9763
(330) 624-1030
Mailing address
3325 COLTON CT, WOOSTER, OH 44691-1899
(330) 345-1175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-09416
OH
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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