Individual
AMY FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1501 MERCY CREEK DR, NORMAL, IL 61761-9597
(309) 268-1501
Mailing address
657 E 2ND ST, EL PASO, IL 61738-1212
(309) 825-4552
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160009272
IL
Other
Enumeration date
12/29/2021
Last updated
01/04/2022
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