Individual
MAKEIBA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, OTR/L
Contact information
Practice address
1502 JONATHAN PL, HEPHZIBAH, GA 30815-6958
(888) 531-2204
(855) 232-8604
Mailing address
1502 JONATHAN PL, HEPHZIBAH, GA 30815-6958
(888) 531-2204
(855) 232-8604
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
6098
SC
225X00000X
Occupational Therapist
Primary
OT004608
GA
Other
Enumeration date
07/17/2020
Last updated
10/30/2024
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