Individual
AMANDA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1611 W HARRISON ST STE 107, CHICAGO, IL 60612-4861
(312) 432-2513
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-1980
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
12/28/2020
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