Individual
MR. JEFFERY DAVID ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
321 PETTIBONE ST, SUITE 104, SOUTH LYON, MI 48178-1220
(248) 437-2322
(248) 437-2433
Mailing address
321 PETTIBONE ST, SUITE 104, SOUTH LYON, MI 48178-1220
(248) 437-2322
(248) 437-2433
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005549
MI
Other
Enumeration date
09/21/2006
Last updated
11/04/2020
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