Individual
MICHELLE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 WILLS RD, ALPHARETTA, GA 30009-1818
(470) 509-4557
Mailing address
2002 TELFORD DR, SAINT LOUIS, MO 63125-2500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2018030749
MO
225X00000X
Occupational Therapist
Primary
OT007640
GA
Other
Enumeration date
08/27/2018
Last updated
07/01/2020
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