Judith Carr Allen, OTR
Individual provider Active NPI Occupational Therapist · Watkinsville, GA
NPI 1619296233 · NPPES record last updated May 21, 2010
Key facts
- NPI
- 1619296233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT000341 (GA)
- Practice address
- 1170 Castle Dr
Watkinsville, GA 30677-2292 - Phone
- (706) 296-6619
- NPI assigned
- May 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| OT000341 | GA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT000341 | GA | Yes |
Addresses
Primary practice location
1170 Castle Dr
Watkinsville, GA 30677-2292
Mailing address
1170 Castle Dr
Watkinsville, GA 30677-2292
Phone (706) 296-6619
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT000341 | Other | GA | GEORGIA STATE OCCUPATIONAL THERAPY LICENSE |
Other providers in Watkinsville, GA
- Robert K Ahrens
- Elizabeth Cavanah Albers
- Aletheia Health & Wellness LLC
- Gena D Alexander-Albert
- Jan Brooks Allen
- William David Allen
- Allison Deroeck Psychotherapy LLC
- Ana Alviz
- Amanda D Dyer, PHD, Inc
- Victoria Maxwell Amaral
All providers in Watkinsville, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2010. 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.