Individual
WENDY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
67 WALL ST, KINGSTON, NY 12401-4809
(845) 338-1978
Mailing address
67 WALL ST, KINGSTON, NY 12401-4854
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
008234
NY
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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