Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 01757 | IA |
NPI | 1124218144 |
---|---|
Provider Name | Rachel Dee Allen-Mchugh |
First Address | Waukee, IA 50263-9636 |
Second Address | Waukee, IA 50263-9636 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2007 |
Last Update Date | 06/05/2010 |