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NPI Code Detail

MEDICARE: MICHAEL L ALLEN MPT

MEDICARE: MICHAEL L ALLEN MPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT018156PA

General Provider Information

NPI Number : 1356364848
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL L ALLEN MPT
Provider Business Mailing Address
First Line : 4115 WILLIAM PENN HWY
Second Line :
City : MURRYSVILLE
State : PA
Zip : 15668-1887
Country : US
Telephone Number : 724-327-7099
Fax Number : 724-327-0173
Provider Business Practice Location Address
First Line : 4115 WILLIAM PENN HWY
Second Line :
City : MURRYSVILLE
State : PA
Zip : 15668-1887
Country : US
Telephone Number : 724-327-7099
Fax Number : 724-327-0173
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 06/02/2008

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