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Contact Information

KENDRA L ALLEN, COTA
36 S SUMAC DR
JANESVILLE, WI53545-2135
 Phone: 608-751-2029
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for KENDRA L ALLEN · (Female)

NPI Number 1144557331
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 11/09/2009
Last updated 12/05/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 057.003179
  • WI License # 4723-027
  • IL Other 057.003179 STATE LICENSE
  • WI Other 4729-027 STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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