Individual
ALLISON SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
89 CEDAR AVE, LAKE VILLA, IL 60046-8411
(847) 265-7300
(847) 265-7301
Mailing address
89 CEDAR AVE, LAKE VILLA, IL 60046-8411
(847) 265-7300
(847) 265-7301
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056010670
IL
225XP0200X
Pediatric Occupational Therapist
5790-26
WI
Other
Enumeration date
08/20/2014
Last updated
11/06/2015
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