Wellformed AI

NPI 1548845548 · live from the CMS NPI Registry

Christopher Lance Allen, OTA, LMT

Occupational Therapy Assistant in Kissimmee, FL. National Provider Identifier 1548845548, active.

NPI record

NPI1548845548 Type 1 · individual
StatusActive
Primary specialtyOccupational Therapy Assistant 224Z00000X
Practice location3262 Hawks Nest Dr, Kissimmee, FL 34741
Practice phone407-617-1108
EnumeratedMarch 11, 2021
Last updatedMarch 11, 2021
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Massage Therapist225700000X34057 (FL)
Occupational Therapy Assistant primary224Z00000X17702 (FL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.