Individual
MRS. AMY LAMAR RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
530 W NORTH ST STE 101, MANHATTAN, IL 60442-8177
(815) 478-7444
(815) 478-7447
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012738
IL
225100000X
Physical Therapist
9987
TN
Other
Enumeration date
08/14/2006
Last updated
03/31/2025
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