Individual
MS. SUSAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2263 ROUTE 2, HERMON, ME 04401-0605
(207) 848-9009
(207) 404-2562
Mailing address
2263 ROUTE 2, HERMON, ME 04401-0605
(207) 848-9009
(207) 404-2562
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
86
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00015800
ANTHEM BCBS
ME
05
—
126980000
—
ME
Enumeration date
05/31/2007
Last updated
08/02/2016
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