| NPI | 1447955356 |
|---|---|
| Former Legal Business Name | CJ ALLEN OT UPPER EXTREMITY & HAND THERAPY, PLLC |
| Entity Type | Organization |
| Authorized Contact | CHARLES J ALLEN Owner 631-761-6996 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-04-05 |