Individual
NICHOLAS ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
12722 TONKEL RD STE 102, FORT WAYNE, IN 46845-8201
(260) 739-0300
Mailing address
12722 TONKEL RD STE 102, FORT WAYNE, IN 46845-8201
(260) 739-0300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/17/2024
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