Individual
ALYSSA TESTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1320 STATE ST, OTTAWA, IL 61350-4413
(815) 257-1230
Mailing address
203 N VIA TOMACELLI, TOLUCA, IL 61369-9509
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242002053
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01134146
RR MEDICARE
IL
Enumeration date
04/24/2012
Last updated
03/17/2018
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