NPI 1063041036

Tanyale Allen

Practitioner Prosthetist Dolton, IL

Practice location

Address: 1016 E 156th Pl, Dolton, IL 60419-2775
Phone: (708) 541-0163

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Registry record

NPI: 1063041036
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Apr 2020
Record last updated: 2 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.