Leslie Allen

Individual provider Active NPI Occupational Therapy Assistant · Hobart, IN

NPI 1902363864 · NPPES record last updated Feb 27, 2019

Key facts

NPI
1902363864
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
32002479A (IN)
Practice address
4410 W 49TH Ave
Hobart, IN 46342-3744
Phone
(219) 947-1507
NPI assigned
Feb 27, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
32002479AINMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 32002479A IN Yes

Addresses

Primary practice location

4410 W 49TH Ave
Hobart, IN 46342-3744

Mailing address

2939 W 85TH CT
Merrillville, IN 46410-6929
Phone (219) 742-4491

Other providers in Hobart, IN

All providers in Hobart, IN · Occupational Therapy Assistant in Indiana

Sources for this page

Verify at the official NPI Registry.