Individual
MRS. NICOLE NOEL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
300 W MAY ST, MARENGO, IA 52301-1261
(319) 642-5543
Mailing address
5639 25TH AVENUE DR, VINTON, IA 52349-9325
(319) 721-9391
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000768
IA
Other
Enumeration date
03/30/2007
Last updated
03/18/2010
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