Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 5600 | CA |
NPI | 1003146747 |
---|---|
Provider Name | Keri Lynn Allen |
First Address | Salinas, CA 93901-3233 |
Second Address | Salinas, CA 93901-3233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2009 |
Last Update Date | 31/12/2009 |