Individual
HANNAH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1640 E TALL TREE RD # 200, DERBY, KS 67037-2000
(316) 651-2380
Mailing address
1640 E TALL TREE RD # 200, DERBY, KS 67037-2000
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-03292
KS
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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