Individual
AMANDA WIRT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1804 CENTRE POINT CIR, NAPERVILLE, IL 60563-1440
(630) 955-1940
Mailing address
1804 CENTRE POINT CIR, NAPERVILLE, IL 60563-1440
(630) 955-1940
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056009945
IL
Other
Enumeration date
11/05/2012
Last updated
02/26/2013
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