Healthcare Provider Details

I. General information

NPI: 1932684347
Provider Name (Legal Business Name): MARGOT ALLEN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2018
Last Update Date: 10/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 E ROMIE LN
SALINAS CA
93901
US

IV. Provider business mailing address

187 PALM AVE APT 16
MARINA CA
93933-2927
US

V. Phone/Fax

Practice location:
  • Phone: 831-424-8072
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: