Individual
KATHLEEN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
191 W ALLENDALE AVE, ALLENDALE, NJ 07401-1724
(201) 679-8747
Mailing address
191 W ALLENDALE AVE, ALLENDALE, NJ 07401-1724
(201) 679-8747
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00274700
NJ
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00274700
NJ
Other
Enumeration date
04/02/2020
Last updated
04/02/2020
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