Individual
KARA MELISSA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 IVEY RD NW STE 1720, ACWORTH, GA 30101-4101
(770) 917-5737
(770) 917-5740
Mailing address
2515 ALVECOT CIRCLE SW, ATLANTA, GA 30339
(404) 862-2169
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT008594
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326548991
—
GA
Enumeration date
02/20/2018
Last updated
06/21/2021
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