Individual
MS. LAURIE SUSAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR CHT
Contact information
Practice address
583 S CLARIZZ BLVD, BLOOMINGTON, IN 47401-5515
(812) 333-2663
(812) 349-9206
Mailing address
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
(812) 333-2663
(812) 349-9206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000726A
IN
225XH1200X
Hand Occupational Therapist
31000726A
IN
Other
Enumeration date
10/01/2014
Last updated
06/12/2019
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