Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 006361 DUP | NY |
NPI | 1023253812 |
---|---|
Provider Name | Tanika S Allen |
First Address | Brooklyn, NY 11233-4714 |
Second Address | Bronx, NY 10452-3301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2008 |
Last Update Date | 08/12/2008 |