NPI 1760052021 · live from the CMS NPI Registry
Olivia Parker Allen, PT, DPT
Physical Therapist in Mesa, AZ. National Provider Identifier 1760052021, active.
NPI record
| NPI | 1760052021 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 4210 E Baseline Rd, Mesa, AZ 85206 |
| Practice phone | 480-503-2373 |
| Mailing address | 1076 W Chandler Blvd, Ste 103, Chandler, AZ 85224 |
| Enumerated | June 29, 2021 |
| Last updated | July 13, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 31827 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.