Individual
STEPHANIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6913 FALLING MEADOWS DR, GALENA, OH 43021-7502
(614) 581-3277
Mailing address
PO BOX 152, SUNBURY, OH 43074-0152
(614) 581-3277
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
#05155
OH
225X00000X
Occupational Therapist
Primary
OT010890
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT010890
OCCUPATIONAL THERAPIST
OH
Enumeration date
11/08/2012
Last updated
02/19/2021
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