Michael Allie

Individual provider Active NPI Occupational Therapy Assistant · Duncan, OK

NPI 1295852945 · NPPES record last updated Nov 18, 2010

Key facts

NPI
1295852945
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OA307 (OK)
Practice address
1107 N Grand Blvd
Duncan, OK 73533-3767
Phone
(580) 606-0123
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
307OKMDMarriage & Family Therapist
OA307OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Therapy Solutions LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OA307 OK Yes

Addresses

Primary practice location

1107 N Grand Blvd
Duncan, OK 73533-3767

Mailing address

1107 N Grand Blvd
Duncan, OK 73533-3767
Phone (580) 606-0123

Other providers in Duncan, OK

All providers in Duncan, OK · Occupational Therapy Assistant in Oklahoma

Sources for this page

Verify at the official NPI Registry.