Provider Demographics
NPI:1477656387
Name:ALLEN, JOANNE F (LPT)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:F
Last Name:ALLEN
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:268 HIGHLAND PARK BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:WILKES-BARRE TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:18702
Mailing Address - Country:US
Mailing Address - Phone:570-822-8831
Mailing Address - Fax:570-820-7740
Practice Address - Street 1:268 HIGHLAND PARK BOULEVARD
Practice Address - Street 2:
Practice Address - City:WILKES-BARRE TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18702
Practice Address - Country:US
Practice Address - Phone:570-822-8831
Practice Address - Fax:570-820-7740
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT005916L208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation