Individual
ANDREA JANE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1905 MAPLE GLEN DR, PLAINFIELD, IL 60586-6637
(630) 542-7797
Mailing address
1905 MAPLE GLEN DR, PLAINFIELD, IL 60586-6637
(630) 542-7797
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.006045
IL
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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