Individual
MR. CHARLES J ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L,CHT
Contact information
Practice address
2108 JOSHUAS PATH, HAUPPAUGE, NY 11788-4764
(631) 761-6996
(631) 761-6997
Mailing address
20 AMBER CT, HAUPPAUGE, NY 11788-3107
(631) 761-6996
(631) 761-6997
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/25/2006
Last updated
03/01/2024
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