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NPI Code Detail

MEDICARE: MRS. DEBRA COLLETTE ALLEN OTR/L

MEDICARE:  MRS. DEBRA COLLETTE ALLEN  OTR/L
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
1225X00000XOccupational Therapist007296-1NY

General Provider Information

NPI Number : 1952554131
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBRA COLLETTE ALLEN OTR/L
Provider Business Mailing Address
First Line : 15 SLY POND RD
Second Line :
City : FORT ANN
State : NY
Zip : 12827-3300
Country : US
Telephone Number : 518-793-6222
Fax Number :
Provider Business Practice Location Address
First Line : 15 SLY POND RD
Second Line :
City : FORT ANN
State : NY
Zip : 12827-3300
Country : US
Telephone Number : 518-793-6222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2008
Last Update Date : 09/10/2010

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Directions to “ MRS. DEBRA COLLETTE ALLEN OTR/L” Practice Location

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