Individual
KAREN SUE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3205 WOOD RD, RACINE, WI 53406-5048
(262) 598-1046
Mailing address
3205 WOOD RD, RACINE, WI 53406-5048
(262) 598-1046
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1738-27
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41059100
—
WI
Enumeration date
02/11/2010
Last updated
02/11/2010
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