Individual
CAROLINE ANN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S ALABAMA ST, BRAZIL, IN 47834-3208
(812) 605-0863
Mailing address
5546 N STATE ROAD 59, BRAZIL, IN 47834-7522
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006308A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31006308A
OT LICENSE
IN
Enumeration date
05/07/2019
Last updated
05/07/2019
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