Individual
KATHRYN CHRISTINE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2655 COMMONS BLVD, SUITE 120, BEAVERCREEK, OH 45431-3773
(937) 320-9131
(937) 320-9132
Mailing address
2655 COMMONS BLVD, SUITE 120, BEAVERCREEK, OH 45431-3773
(937) 320-9131
(937) 320-9132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07013
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000281943
ANTHEM
OH
05
—
0108341
—
OH
Enumeration date
09/26/2008
Last updated
09/26/2008
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