Individual
AMANDA LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1288 S GOVERNORS AVE, DOVER, DE 19904-4802
(302) 677-0100
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01081867
MEIDCARE RAILROAD
DE
Enumeration date
06/27/2011
Last updated
11/01/2012
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