Individual
SANDRA JEANNE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2700 GREENUP AVE, ASHLAND, KY 41101-1953
(606) 324-0540
(606) 324-0616
Mailing address
2700 GREENUP AVE, ASHLAND, KY 41101-1953
(606) 324-0540
(606) 324-0616
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
134295
KY
225XH1200X
Hand Occupational Therapist
134295
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0853
OT LICENSE
KY
Enumeration date
05/14/2020
Last updated
05/14/2020
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