Individual
KRISTIN C ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
134 EAST SHORELINE DRIVE, SANDUSKY, OH 44870
(419) 557-2019
(419) 433-5509
Mailing address
3317 HARVEST RIDGE DR, HURON, OH 44839-1067
(419) 557-2019
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-5557
OH
332B00000X
Durable Medical Equipment & Medical Supplies
22 030 630
OH
332BC3200X
Customized Equipment (DME)
22 030 630
OH
335E00000X
Prosthetic/Orthotic Supplier
PT -5557
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11550039
CAQH #
OH
05
—
268 4877
—
OH
05
—
269 4679
—
OH
Enumeration date
03/24/2006
Last updated
02/28/2019
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