MEDICARE: ADRIANNE ALLEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	31004742A	IN

General Provider Information

NPI Number	:	1447581533
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIANNE ALLEN

Provider Business Mailing Address
First Line	:	2334 N DELAWARE ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46205-4332
Country	:	US
Telephone Number	:	317-363-4803
Fax Number	:

Provider Business Practice Location Address
First Line	:	5810 LEE RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46216-2109
Country	:	US
Telephone Number	:	317-543-9430
Fax Number	:	317-543-9497

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2010
Last Update Date	:	02/03/2021

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Directions to “ ADRIANNE ALLEN ” Practice Location

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