Most Relevant Information
Provider Data
| NPI Number: | 1003426487 |
| Provider Name: | ALLYX UNDERWOOD |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 057005422 |
Most Important Dates
| Enumeration Date: | 07/31/2020 |
| Last Updated: | 07/31/2020 |
Provider Practice Location
111 S HOMER ST
PRINCETON
IL
613561850
Practice Location Phone/Fax
| Phone: | 8159097121 |
| Fax: |
Provider Mailing Location
111 S HOMER ST
PRINCETON
IL
613561850
Provider Mailing Phone/Fax
| Phone: | 8159097121 |
| Fax: |