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Tadesa Allen, COTA
NPI 1649541558 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1006 N Brookfield St
South Bend, IN 46628 - Phone
- (574) 300-5645
Registry record
- Primary taxonomy
- 224Z00000X
224Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-11-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana