Individual
RHONDA D ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5100 S DORCHESTER AVE, CHICAGO, IL 60615-4118
(773) 966-5039
Mailing address
443 N KENNETH CT, GLENWOOD, IL 60425-1205
(708) 996-2260
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005893
IL
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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