Individual
DANIEL LEWIS ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0001996
DE
225100000X
Physical Therapist
PT017627
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102302845-0001
—
PA
05
—
1588863062
—
DE
01
—
30067515
KEYSTONE MERCY
PA
01
—
306058
UNISON
—
01
—
37446240000
IBC
DE
01
—
P00885356
RAILROAD MEDICARE
DE
Enumeration date
07/13/2007
Last updated
02/28/2011
Update your record
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