NPI 1508146556 · live from the CMS NPI Registry
Kellie Mae Allen, OTR/L
Occupational Therapist, Physical Rehabilitation in Niles, OH. National Provider Identifier 1508146556, active.
NPI record
| NPI | 1508146556 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist, Physical Rehabilitation 225XP0019X |
| Practice location | 918 Youngstown Warren Rd, Niles, OH 44446 |
| Practice phone | 330-505-1606 |
| Mailing address | 6858 Hoagland Blackstub Rd, Cortland, OH 44410 |
| Enumerated | August 23, 2011 |
| Last updated | November 14, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist, Physical Rehabilitation primary | 225XP0019X | OT007845 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.