Individual
HEATHER ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11855 HG TRUEMAN RD, LUSBY, MD 20657-2855
(410) 326-3432
Mailing address
11855 HG TRUEMAN RD, LUSBY, MD 20657-2855
(410) 326-3432
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20414
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S888-0016
CAREFIRST BLUECROSS BLUE
MD
Enumeration date
10/19/2006
Last updated
10/22/2007
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