Individual
AMY MARIE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1340 N RIVER ST, AURORA, IL 60506-1477
(630) 892-8800
Mailing address
13 WINDCREST DR, OSWEGO, IL 60543-9750
(630) 779-2370
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.003950
IL
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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