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Individual

WHITNEY ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 302-2230
Mailing address
807 JAMES PL, EASTON, MO 64443-9621
(816) 248-3896

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2010032298
MO

Other

Enumeration date
09/16/2010
Last updated
09/16/2010
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