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NPI Code Detail

MEDICARE: REBECCA LEIGH ALLEN

MEDICARE: REBECCA LEIGH ALLEN
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 Therapist3119032TX

General Provider Information

NPI Number : 1568811412
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA LEIGH ALLEN
Provider Business Mailing Address
First Line : 3824 S CARRIER PKWY
Second Line : STE 470
City : GRAND PRAIRIE
State : TX
Zip : 75052-6644
Country : US
Telephone Number : 972-262-9972
Fax Number : 972-262-9986
Provider Business Practice Location Address
First Line : 3824 S CARRIER PKWY
Second Line : STE 470
City : GRAND PRAIRIE
State : TX
Zip : 75052-6644
Country : US
Telephone Number : 972-262-9972
Fax Number : 972-262-9986
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2016
Last Update Date : 06/10/2016

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Directions to “ REBECCA LEIGH ALLEN ” Practice Location

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