Individual
MS. JEROLYN GRACE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9151 W LISBON LN, PEORIA, AZ 85381-2724
(623) 933-0933
Mailing address
9151 W LISBON LN, PEORIA, AZ 85381-2724
(623) 933-0933
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
551
AZ
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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