Individual
KATE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
7001A LOISDALE RD, SPRINGFIELD, VA 22150-1904
(703) 971-0602
(703) 971-0606
Mailing address
7001A LOISDALE RD, SPRINGFIELD, VA 22150-1904
(703) 971-0602
(703) 971-0606
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006121
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
770722329
IRS
VA
Enumeration date
11/08/2013
Last updated
01/02/2018
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