Individual
AMANDA ILIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
401 N 1ST ST, CENTERVILLE, IN 47330-1003
(812) 455-1410
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004467A
IN
Other
Enumeration date
07/08/2022
Last updated
07/08/2022
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