Individual
EBONY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 MADISON AVE, MEMPHIS, TN 38103-3403
(662) 689-9300
Mailing address
124 HIGHLAND DR, SENATOBIA, MS 38668-6302
(662) 689-9300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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