Individual provider · NPI-1

Rhonda D Allen, COTA/L

Occupational Therapy Assistant · Chicago, IL

NPI number1104538750
StatusActive
Last updated in NPPESDec 14, 2022

Details

NPI
1104538750
Entity type
Individual (NPI-1)
Name
Rhonda D Allen
Credential
COTA/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 14, 2022
Certification date
Dec 14, 2022
Last updated
Dec 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant057.005893ILYes

Practice location

5100 S Dorchester Ave
Chicago, IL 60615-4118

Phone 773-966-5039

Mailing address

443 N Kenneth Ct
Glenwood, IL 60425-1205

Phone 708-996-2260

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