NPI | 1114303328 |
---|---|
Professional Name | ANECIA DISHEL ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 5145) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: NC 8313) |
225X00000X Occupational Therapist (Licence: NC 9873) | |
Enumeration Date | 2015-08-11 |
Last Update Date | 2017-12-07 |