Individual
AMY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
5545 N CLARK ST, CHICAGO, IL 60640
(773) 989-9620
(773) 989-8346
Mailing address
5545 N CLARK ST, CHICAGO, IL 60640-1222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07009085
IL
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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