Individual
ERICA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4 JACKIE LN, MATTAPOISETT, MA 02739-1123
(774) 271-0366
Mailing address
4 JACKIE LN, MATTAPOISETT, MA 02739-1123
(774) 271-0366
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11199
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11199
OCCUPATIONAL THERAPY LICENSE
MA
Enumeration date
07/24/2018
Last updated
07/24/2018
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