Provider Demographics
NPI:1497221840
Name:WEPPRECHT, ALLISON LYNN (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:LYNN
Last Name:WEPPRECHT
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 N ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:FLANAGAN
Mailing Address - State:IL
Mailing Address - Zip Code:61740-9036
Mailing Address - Country:US
Mailing Address - Phone:815-844-7115
Mailing Address - Fax:
Practice Address - Street 1:205 N ADAMS ST
Practice Address - Street 2:
Practice Address - City:FLANAGAN
Practice Address - State:IL
Practice Address - Zip Code:61740-9036
Practice Address - Country:US
Practice Address - Phone:815-844-7115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-23
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.012672225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist