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Individual

JESSICA H ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
134 S PEACE HAVEN RD, WINSTON SALEM, NC 27104-4418
(901) 761-0021
Mailing address
1990 SHOALS RD, PINNACLE, NC 27043-9166
(336) 710-9037

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15214
NC

Other

Enumeration date
12/06/2012
Last updated
07/10/2023
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