Individual
BRENN LEIGH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4748 OLD SALISBURY RD, LEXINGTON, NC 27295-7827
(336) 956-1132
Mailing address
6212 MOUNTAIN VINE AVE, KANNAPOLIS, NC 28081-8504
(704) 956-5813
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15263
NC
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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