Provider Demographics
NPI:1528378080
Name:ALLEN, FIONA KARIN (BHSC (HONS) OT, OTR)
Entity Type:Individual
Prefix:MS
First Name:FIONA
Middle Name:KARIN
Last Name:ALLEN
Suffix:
Gender:F
Credentials:BHSC (HONS) OT, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 W COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-1619
Mailing Address - Country:US
Mailing Address - Phone:812-428-5678
Mailing Address - Fax:
Practice Address - Street 1:621 W COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-1619
Practice Address - Country:US
Practice Address - Phone:812-428-5678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31005041A225X00000X
KYR4539225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist