Individual
MISS ANECIA DISHEL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
101 PARK CT, GAFFNEY, SC 29341-1275
(864) 362-5574
(864) 761-1213
Mailing address
101 PARK CT, GAFFNEY, SC 29341-1275
(864) 362-5574
(864) 761-1213
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
8313
NC
225X00000X
Occupational Therapist
Primary
5145
SC
225X00000X
Occupational Therapist
9873
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344257
—
NC
Enumeration date
08/11/2015
Last updated
12/07/2017
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