Individual
FARRELL W ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
3333 HARRISON AVE NW, STE 102, OLYMPIA, WA 98502-5049
(360) 292-7245
Mailing address
PO BOX 11009, CASCADE BILLING, OLYMPIA, WA 98508-1009
(360) 352-2037
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007829
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226121
L&I
WA
05
—
8341935
—
WA
Enumeration date
05/05/2006
Last updated
02/20/2008
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