Individual
MIA MARIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25100 CALABASAS RD, CALABASAS, CA 91302-1435
(818) 222-1000
Mailing address
25100 CALABASAS RD, CALABASAS, CA 91302-1435
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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