Individual
MRS. JAN MIXSON ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3540 VICTORY BLVD, YORKTOWN, VA 23693-3641
(757) 776-0736
Mailing address
404 TABB LAKES DR, YORKTOWN, VA 23693-4118
(757) 619-7241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305003533
VA
Other
Enumeration date
08/30/2005
Last updated
03/17/2018
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