Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
2251H1200X | 65 | Physical Therapist in Private Practice | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1861667396 |
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| LBN Legal business name | MARILYN L ALLEN | ||||||||
| Authorized official | DEENA PRICE - (OFFICE MANAGER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 04/25/2008 | ||||||||
| Last updated | 04/28/2008 - About 18 years ago | ||||||||
| Identifiers |
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MARILYN L ALLEN
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