NPI | 1497313324 |
---|---|
Other Name | REGGIE ALLEN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225400000X Rehabilitation Practitioner |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TX 215114) |
Enumeration Date | 2019-06-05 |
Last Update Date | 2025-04-13 |