Pam Allen, COTA

Individual provider Active NPI Occupational Therapy Assistant · Wooster, OH

NPI 1588083018 · NPPES record last updated Apr 13, 2014

Key facts

NPI
1588083018
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
02836 (OH)
Practice address
210 E Milltown Rd
Suite a
Wooster, OH 44691-1246
Phone
(330) 262-4449
Fax
(330) 262-4449
NPI assigned
Apr 13, 2014
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

LicenseStateTypeSpecialty
02836OHMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 02836 OH Yes

Addresses

Primary practice location

210 E Milltown Rd
Suite a
Wooster, OH 44691-1246

Mailing address

210 E Milltown Rd
Suite a
Wooster, OH 44691-1246
Phone (330) 262-4449

Other providers in Wooster, OH

All providers in Wooster, OH · Occupational Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.