Individual
AMANDA HADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1920 MAPLE AVE, LISLE, IL 60532-2179
(630) 725-7000
Mailing address
16231 LAUREL OAK DR, CREST HILL, IL 60403-0747
(414) 477-7612
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006759
IL
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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