Individual
AMANDA BOBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 LOBLOLLY CT, O FALLON, IL 62269-3480
(618) 806-3806
Mailing address
1200 LOBLOLLY CT, O FALLON, IL 62269-3480
(618) 806-3806
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008622
IL
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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