Individual
JESSICA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
321 W BRUCE ST STE B, SEYMOUR, IN 47274-2319
(812) 522-7887
(812) 522-7326
Mailing address
321 W BRUCE ST STE B, PO BOX 1192, SEYMOUR, IN 47274-2319
(812) 522-7887
(812) 522-7326
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007678A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342292
BLUE CROSS BLUE SHIELD
IN
05
—
100140690
—
IN
Enumeration date
02/07/2007
Last updated
11/28/2023
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