Individual
TRACI ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
605 E CHURCH ST STE 2, FREDERICK, MD 21701-5705
(240) 566-3568
Mailing address
9101 WESLEYAN RD STE 100, INDIANAPOLIS, IN 46268-3103
(800) 603-6046
(317) 884-3388
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02831
MD
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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