Individual
MRS. JULIE MARIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5651
Mailing address
1570 E HIGHWAY 124, HALLSVILLE, MO 65255-9782
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001692
MO
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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