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Individual

MARY K ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2166 BLAIRS FERRY RD, HIAWATHA, IA 52233-7902
(319) 395-6000
(319) 395-6015
Mailing address
4700 TAMA ST SE, STE 700, CEDAR RAPIDS, IA 52403-4556
(319) 447-0700
(319) 447-0808

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03196
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0665430
IA
Enumeration date
10/03/2006
Last updated
03/10/2009
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