Individual provider · NPI-1
Dr. John Tanner Allen, PT,DPT
Physical Therapist · Palm Beach Gardens, FL
NPI number1053959130
StatusActive
Last updated in NPPESFeb 5, 2025
Details
- NPI
- 1053959130
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Tanner Allen
- Credential
- PT,DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2019
- Certification date
- Feb 5, 2025
- Last updated
- Feb 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT35395 | FL | Yes |
Practice location
12823 Woodmill DrPalm Beach Gardens, FL 33418-8945
Phone 229-740-3484
Mailing address
12823 Woodmill DrPalm Beach Gardens, FL 33418-8945
Phone 229-740-3484
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