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Contact Information

EBONY R ALLEN
1133 S JEFFERSON ST APT 9
ALLENTOWN, PA18103-3888
 Phone: 614-596-6364
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for EBONY R ALLEN · (Female)

NPI Number 1780178145
Status Active
Credentials
Entity Individual
Enumeration date 06/19/2018
Last updated 03/26/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OH License # OTA005619
  • PA License # OP009723
  • TX License # 212614
  • TX Medicaid 1780178145
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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