Individual
LESLIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 W 49TH AVE, HOBART, IN 46342-3744
(219) 947-1507
Mailing address
2939 W 85TH CT, MERRILLVILLE, IN 46410-6929
(219) 742-4491
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002479A
IN
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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