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NPI Code Detail

MEDICARE: SUSAN J. ALLEN PT

MEDICARE: SUSAN J. ALLEN PT
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 Therapist2043NV

General Provider Information

NPI Number : 1407933039
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN J. ALLEN PT
Provider Business Mailing Address
First Line : 52 COMMERCIAL WAY
Second Line :
City : FALLON
State : NV
Zip : 89406-2600
Country : US
Telephone Number : 775-867-3904
Fax Number : 775-867-3901
Provider Business Practice Location Address
First Line : 52 COMMERCIAL WAY
Second Line :
City : FALLON
State : NV
Zip : 89406-2600
Country : US
Telephone Number : 775-867-3904
Fax Number : 775-867-3901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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Directions to “ SUSAN J. ALLEN PT” Practice Location

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