Individual
JOHN THOMAS ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
141 CREEKWOOD LN, SHOW LOW, AZ 85901-2822
(928) 537-0055
Mailing address
141 CREEKWOOD LN, SHOW LOW, AZ 85901-2822
(928) 537-0055
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT4251
CA
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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