Organization
ALLYSON COLE PEDIATRIC NUTRITION THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYSON COLE RD, LDN (REGISTERED DIETITIAN)
(815) 685-1563
Entity
Organization
Contact information
Practice address
3341 W PILGRIMS WAY, PEORIA, IL 61615-9512
(815) 685-1563
(309) 220-4128
Mailing address
3341 W PILGRIMS WAY, PEORIA, IL 61615-9512
(815) 685-1563
(309) 220-4128
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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