Individual
ALLISON DONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 BARTELL RD., URBANA, IL 61802
(217) 384-3784
Mailing address
607 E DAGGY ST, TUSCOLA, IL 61953-1744
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002987
IL
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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