Individual
HEATHER ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
30322 ESPERANZA, AMAYZING KIDS R111, RANCHO SANTA MARGARITA, CA 92688
(949) 600-5437
Mailing address
2632 RED SAGE, IRVINE, CA 92618-1544
(207) 522-5152
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT10939
CA
Other
Enumeration date
09/15/2006
Last updated
01/20/2017
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