Individual
COURTNEY DAWN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1707 W ELFINDALE ST # SR, SPRINGFIELD, MO 65807-1295
(417) 831-2273
Mailing address
1421 W FROSTY DR APT 2, OZARK, MO 65721-9476
(417) 718-9966
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2020021914
MO
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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