Individual
SHANE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOT
Contact information
Practice address
823 W MICHIGAN AVE, MARSHALL, MI 49068-1445
(269) 248-4300
(269) 781-5505
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056010550
IL
Other
Enumeration date
05/07/2014
Last updated
08/28/2024
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