Individual
MR. JON MICHAEL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
748 CHESTNUT AVE, APT 1-C, COOKEVILLE, TN 38501-1645
(606) 224-6915
Mailing address
748 CHESTNUT AVE, APT. 1-C, COOKEVILLE, TN 38501-1645
(606) 224-6915
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R1749
KY
Other
Enumeration date
11/22/2005
Last updated
03/17/2008
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