Individual
ALLYX UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S HOMER ST, PRINCETON, IL 61356-1850
(815) 909-7121
Mailing address
111 S HOMER ST, PRINCETON, IL 61356-1850
(815) 909-7121
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005422
IL
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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