Individual
MRS. AMANDA ANNE FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3255 N PAULINA ST, UNIT C, CHICAGO, IL 60657-1014
(773) 868-4769
Mailing address
3255 N PAULINA ST UNIT C, UNIT C, CHICAGO, IL 60657-1014
(773) 868-4769
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.008869
IL
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
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