Diane Allen, LMT
Specialist in West Orange, NJ. Individual provider (NPI-1).
NPI number1447597331
StatusActive
Last updated in NPPESJan 11, 2013
Details
- NPI
- 1447597331
- Entity type
- Individual (NPI-1)
- Name
- Diane Allen
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 11, 2013
- Last updated
- Jan 11, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 18KT00009900 | NJ | Yes |
Practice location
376 Saint Cloud AveWest Orange, NJ 07052-2522
Phone 973-820-3264
Mailing address
376 Saint Cloud AveWest Orange, NJ 07052-2522
Phone 973-820-3264
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