Individual
DEBORAH ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1445 JOMAR RD, ASHLAND, KY 41102-8992
(606) 465-4265
Mailing address
1445 JOMAR RD, ASHLAND, KY 41102-8992
(606) 465-4265
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A1700
KY
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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