Individual
KELLIE MAE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
918 YOUNGSTOWN WARREN RD, NILES, OH 44446-4623
(330) 505-1606
(330) 505-2621
Mailing address
6858 HOAGLAND BLACKSTUB RD, CORTLAND, OH 44410-9544
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT007845
OH
Other
Enumeration date
08/23/2011
Last updated
11/14/2017
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