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LAURETTA ALLEN RPT, DPT, CFP
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1508243072
Individual Registrant: LAURETTA ALLEN RPT, DPT, CFP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2600 NEWBURG RD FORTUNA, CA 95540-2536 US
Tel: 707-725-6995 Fax: 707-725-9152
Tel: 707-725-6995 Fax: 707-725-9152
Contact information for business:
2306 DEAN ST EUREKA, CA 95501-3209 US
Tel: 707-443-8354 Fax: 707-443-8628
Tel: 707-443-8354 Fax: 707-443-8628
Registration Information:
NPI: 1508243072
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CA | PT14979 |
| N | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | MP | PT0009 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
