Individual
REAGAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
501 BURNS AVE, LAKE WALES, FL 33853-3335
(863) 679-3338
Mailing address
510 N CROOKED LAKE DR, BABSON PARK, FL 33827-9786
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/29/2021
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