Individual
AMY ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
704 S ILLINOIS ST, GENESEO, IL 61254-1782
(309) 944-3072
Mailing address
704 S ILLINOIS ST, GENESEO, IL 61254-1782
(309) 944-3072
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.003228
IL
Other
Enumeration date
06/22/2016
Last updated
06/22/2016
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