Individual
MR. ALEX J LINGAFELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
500 ART BARTELL RD, URBANA, IL 61802-2888
(217) 384-3784
Mailing address
2504 E FLORIDA AVE, URBANA, IL 61802-4725
(217) 714-0500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057004351
IL
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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