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NPI Code Detail

MEDICARE: LES ALLINGER

MEDICARE:   LES  ALLINGER
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
1224Z00000XOccupational Therapy Assistant057.002866IL

General Provider Information

NPI Number : 1326395203
Entity Type Code : Individual
Provider Name (Legal Business Name) : LES ALLINGER
Provider Business Mailing Address
First Line : 3801 OLD BRUCEVILLE RD
Second Line :
City : VINCENNES
State : IN
Zip : 47591-3889
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 801 N LOGAN AVE
Second Line :
City : DANVILLE
State : IL
Zip : 61832-3715
Country : US
Telephone Number : 217-443-3106
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2012
Last Update Date : 08/09/2012

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Directions to “ LES ALLINGER ” Practice Location

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