Individual
WENDY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
65 DUTCH LN, COLUMBUS, MS 39702-5523
(662) 241-4545
(662) 241-4025
Mailing address
1029A HIGHWAY 42, PETAL, MS 39465-9768
(662) 241-4545
(662) 241-4025
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1193
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04885392
—
MS
Enumeration date
08/22/2005
Last updated
11/08/2010
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