Individual provider · NPI-1

Amy Lynn Allen

Occupational Therapy Assistant · Saint Louis, MO

NPI number1326716101
StatusActive
Last updated in NPPESSep 5, 2021

Details

NPI
1326716101
Entity type
Individual (NPI-1)
Name
Amy Lynn Allen
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 5, 2021
Certification date
Sep 5, 2021
Last updated
Sep 5, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant2000154621MOYes
224Z00000X Occupational Therapy Assistant057.002468IL

Practice location

12563 Village Circle Dr
Saint Louis, MO 63127-1758

Phone 314-730-3902

Mailing address

6446 Wanda Ave
Saint Louis, MO 63116-2130

Phone 314-954-4985

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