NPI 1699010256 · live from the CMS NPI Registry
Jessica H Allen, OTR/L
Occupational Therapist in Winston Salem, NC. National Provider Identifier 1699010256, active.
NPI record
| NPI | 1699010256 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 134 S Peace Haven Rd, Winston Salem, NC 27104 |
| Practice phone | 901-761-0021 |
| Mailing address | 1990 Shoals Rd, Pinnacle, NC 27043 |
| Enumerated | December 6, 2012 |
| Last updated | July 10, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | 15214 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.