Individual
AMY LYNN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12563 VILLAGE CIRCLE DR, SAINT LOUIS, MO 63127-1758
(314) 730-3902
Mailing address
6446 WANDA AVE, SAINT LOUIS, MO 63116-2130
(314) 954-4985
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057.002468
IL
224Z00000X
Occupational Therapy Assistant
Primary
2000154621
MO
Other
Enumeration date
09/05/2021
Last updated
09/05/2021
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