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Individual

MRS. AMY BETH SO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
19821 S. LAGRANGE ROAD, MOKENA, IL 60448
(708) 478-6996
Mailing address
2868 TANAGA BASIN, NEW LENOX, IL 60451-2982
(815) 485-0619

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
IL

Other

Enumeration date
12/01/2006
Last updated
07/08/2007
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