Individual
CHRISTINA ALYCE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
306025
CA
225100000X
Physical Therapist
Primary
LPT-31511
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPT-31511
LICENSE NUMBER
—
Enumeration date
10/29/2020
Last updated
05/17/2024
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