Individual
AMANDA M RAFFERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6759 DEMPSTER ST, MORTON GROVE, IL 60053-2607
(847) 470-9995
Mailing address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012940
IL
Other
Enumeration date
04/26/2007
Last updated
12/07/2015
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