Healthcare Provider Details

I. General information

NPI: 1265956569
Provider Name (Legal Business Name): CYNTHIA ALLYN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2017
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VILSECK ARMY HEALTH CLINIC SUDLAGER 260
VILSECK BAYERN
92249
DE

IV. Provider business mailing address

SUDLAGER 260
VILSECK BAYERN
92249
DE

V. Phone/Fax

Practice location:
  • Phone: 314-590-3537
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT18538
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: