Individual
SHONITA DANETTE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
200 TRADE ST, TARBORO, NC 27886-5055
(252) 414-3649
Mailing address
1315 WESTPOINTE DR, APT 6, GREENVILLE, NC 27834-1004
(252) 414-3649
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6376
NC
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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