Monique Allen
Individual provider Active NPI Physical Therapy Assistant · Dublin, GA
NPI 1073129342 · NPPES record last updated Sep 21, 2020
Key facts
- NPI
- 1073129342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 002474 (GA)
- Practice address
- 203 S Lancaster St
Dublin, GA 31021-3423 - Phone
- (478) 304-6005
- NPI assigned
- Sep 21, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002474 | GA | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 002474 | GA | Yes |
Addresses
Primary practice location
203 S Lancaster St
Dublin, GA 31021-3423
Mailing address
203 S Lancaster St
Dublin, GA 31021-3423
Phone (478) 304-6005
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | MALLEN | Direct |
Other providers in Dublin, GA
- Olamide A Alakija
- Tiffany Alderman
- John Marvin Alford III
- Sambasiva Rao Allada
- Autumn Katrina Allen
- Sean L Alligood
- Allen F. Almquist
- Alice E Alston
- Ambrose Pediatric Dentistry of Dublin, LLC
- Amedisys Georgia, L.L.C.
All providers in Dublin, GA · Physical Therapy Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.