Individual
JANET ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 S STATE ROUTE 19, THAYER, MO 65791-1415
(417) 264-7256
Mailing address
715 S STATE ROUTE 19, THAYER, MO 65791-1415
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2014005684
MO
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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