Provider Demographics
NPI:1689981433
Name:ALLEN, ERIN (MSOTR/L)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MSOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 DEER LN
Mailing Address - Street 2:
Mailing Address - City:BROWNVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04414-3745
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:36 DEER LN
Practice Address - Street 2:
Practice Address - City:BROWNVILLE
Practice Address - State:ME
Practice Address - Zip Code:04414-3745
Practice Address - Country:US
Practice Address - Phone:207-943-3050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT 1981225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist