Individual
AMANDA COPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019267
IL
Other
Enumeration date
11/26/2012
Last updated
05/02/2013
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