Individual
ALLISON RENEE GEISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1205 W LANE RD, MACHESNEY PARK, IL 61115-1625
(779) 218-8739
Mailing address
1205 W LANE RD, MACHESNEY PARK, IL 61115-1625
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
Primary
057.005764
IL
224Z00000X
Occupational Therapy Assistant
5857-27
WI
Other
Enumeration date
07/17/2017
Last updated
08/01/2026
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