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Individual

MRS. AMANDA JAYNE CARVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL, ATP

Contact information

Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 788-3300
(217) 788-5546
Mailing address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 788-3300
(217) 788-5546

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
IL

Other

Enumeration date
01/30/2007
Last updated
07/08/2007
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