Individual
AMANDA L RAWDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
615 N PROMENADE ST, HAVANA, IL 62644-1243
(309) 543-8578
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(309) 543-8578
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008421
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376017857001
—
IL
Enumeration date
10/27/2009
Last updated
12/15/2021
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