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Individual

AMANDA LORRAINE WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
5157 N FRANCISCO AVE, CHICAGO, IL 60625
(773) 878-8200
Mailing address
1909 W BELLE PLAINE AVE UNIT 2, CHICAGO, IL 60613-1828

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.023605
IL
225100000X
Physical Therapist
1285477
TX

Other

Enumeration date
01/07/2017
Last updated
12/23/2019
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