Individual
DANIEL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
4068 FLATS MAIN ST, APT 100, INDIAN LAND, SC 29707
(703) 863-9468
Mailing address
6032 QUEENS WALK CT, INDIAN LAND, SC 29707-7176
(571) 316-4537
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019016704
VA
Other
Enumeration date
09/12/2018
Last updated
10/29/2020
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