Doctor Name: | MR. STEVAN ALLEN |
NPI Number: | 1841381639 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA PT |
License Number: | PT9878 |
Business Practice Address: | 1860 El Camino Real Ste 201 Burlingame, CA - 940103111 |
Business Phone Number: | 6502598009 |
Business Fax Number: | 6502599769 |
Mailing Address: | 705 Oak Grove Ave, MENLO PARK |
State: | CA |
Postal Code: | 940254319 |
Phone Number: | 6503635674 |
Fax Number: | 6503635675 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 04/21/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT9878 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |