NPI 1780923342 · live from the CMS NPI Registry
Stacie M Allen, OTR/L
Occupational Therapist in San Gabriel, CA. National Provider Identifier 1780923342, active.
NPI record
| NPI | 1780923342 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 115 Bridge St, San Gabriel, CA 91775 |
| Practice phone | 626-289-4439 |
| Mailing address | 9902 Day Rd, Versailles, OH 45380 |
| Enumerated | February 1, 2013 |
| Last updated | February 1, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | 13208 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.