| Doctor Name: | MRS. CHRISTY ALLEN |
| NPI Number: | 1154722502 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | CL1178655 |
| Business Practice Address: | 548 S Us Highway 27 Ste A Minneola, FL - 347151903 |
| Business Phone Number: | 3522508410 |
| Business Fax Number: | |
| Mailing Address: | 11 Bay Ridge Loop, MASCOTTE |
| State: | FL |
| Postal Code: | 347538832 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/04/2014 |
| NPI Last Update Date: | 09/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | CL1178655 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |