Individual
GARY LEE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
245 NORTH ST, BRISTOL, VA 24201-3274
(276) 669-4711
Mailing address
1012 PENNSYLVANIA AVE, BRISTOL, TN 37620-3829
(423) 488-7207
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
818
TN
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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