Douglas James Allen, OT

Individual provider Active NPI Occupational Therapist · Hawthorne, CA

NPI 1740949890 · NPPES record last updated Dec 22, 2021

Key facts

NPI
1740949890
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
6221 (CA)
Practice address
13021 Central Ave Unit 303
Hawthorne, CA 90250-5880
Phone
(310) 363-5516
NPI assigned
Dec 15, 2021
Sex
Male
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

LicenseStateTypeSpecialty
6221CAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6221 CA Yes

Addresses

Primary practice location

13021 Central Ave Unit 303
Hawthorne, CA 90250-5880

Mailing address

13021 Central Ave Unit 303
Hawthorne, CA 90250-5880
Phone (310) 363-5516

Other providers in Hawthorne, CA

All providers in Hawthorne, CA · Occupational Therapist in California

Sources for this page

Verify at the official NPI Registry.