Individual
AMY N KEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
21 HERITAGE DR, BOURBONNAIS, IL 60914-1465
(815) 937-8220
Mailing address
1786 QUAIL DR, SAINT ANNE, IL 60964-4469
(815) 370-5351
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.003783
IL
Other
Enumeration date
03/19/2008
Last updated
07/20/2012
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