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Individual

DR. JESSIKA ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT ATC/L, FAAOM

Contact information

Practice address
5957 FASHION POINT DR STE 102, SOUTH OGDEN, UT 84403-5180
(801) 827-0200
(801) 827-0201
Mailing address
PO BOX 66, HOOPER, UT 84315-0066
(801) 827-0200
(801) 827-0201

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11640380-2401
UT
2255A2300X
Athletic Trainer
11640380-4810
UT

Other

Enumeration date
01/27/2021
Last updated
04/05/2024
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