Individual
AMY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1516 LEGACY CIR STE 100, NAPERVILLE, IL 60563-1253
(331) 249-6626
Mailing address
2319 MAYFIELD AVE, JOLIET, IL 60435-5431
(815) 514-4688
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056016018
IL
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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