Michael Allen

Individual provider Active NPI Occupational Therapist · McKeesport, PA

NPI 1093176646 · NPPES record last updated Mar 10, 2016

Key facts

NPI
1093176646
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OC009044 (PA)
Practice address
625 Walnut St
McKeesport, PA 15132-2806
Phone
(412) 673-5005
NPI assigned
Mar 10, 2016
Sex
Male
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

LicenseStateTypeSpecialty
OC009044PAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC009044 PA Yes

Addresses

Primary practice location

625 Walnut St
McKeesport, PA 15132-2806

Mailing address

625 Walnut St
McKeesport, PA 15132-2806

Other providers in McKeesport, PA

All providers in McKeesport, PA · Occupational Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.