Individual
DEANA VAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6601 MONTANA AVE, EL PASO, TX 79925-2155
(915) 838-7604
(915) 772-4633
Mailing address
2316 BERT YANCEY DR, EL PASO, TX 79936-2702
(254) 681-8662
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209583
TX
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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