Individual
KIMBERLY DOLE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L; M.ED
Contact information
Practice address
1516 HAINES ST, PHILADELPHIA, PA 19126-2715
(413) 222-5132
Mailing address
1516 HAINES ST, PHILADELPHIA, PA 19126-2715
(413) 222-5132
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012846
PA
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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