Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Tadesa Allen, COTA

Individual provider Occupational Therapy Assistant · NPI 1649541558

MS. Tadesa Allen, COTA is an Occupational Therapy Assistant in South Bend, Indiana. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2012
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

1006 N Brookfield St
South Bend, IN 46628-2604
Phone: (574) 300-5645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057003476 (IL)

Record details

NPI number1649541558
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedJanuary 24, 2012
Last updated in NPPESNovember 6, 2019

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