Individual
MRS. CYNTHIA PASCUAL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3750 PEACHTREE RD NE, ATLANTA, GA 30319-1322
(404) 231-8251
Mailing address
1258 VAN ALLEN MEWS NW, ATLANTA, GA 30318-4180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004236
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT004236
STATE OF GEORGIA, KAREN HANDEL, SEC. OF STATE OCUPATIONAL THERAPY LICENSE
GA
Enumeration date
07/06/2008
Last updated
07/06/2008
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