Individual
MADALYNN LOUISE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 W BRADLEY AVE STE 2, CHAMPAIGN, IL 61821-1814
(217) 800-5210
(309) 431-4246
Mailing address
1612 MELROSE PARK CT APT 1826, URBANA, IL 61801-0827
(309) 472-8955
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.006276
IL
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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