Individual
CHRISTOPHER LANCE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA, LMT
Contact information
Practice address
3262 HAWKS NEST DR, KISSIMMEE, FL 34741-7521
(407) 617-1108
Mailing address
3262 HAWKS NEST DR, KISSIMMEE, FL 34741-7521
(407) 617-1108
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17702
FL
225700000X
Massage Therapist
34057
FL
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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