Individual
AMANDA RUTH SCHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
205 CYPRESS PT, WASHINGTON, IL 61571-4004
(314) 518-9199
Mailing address
205 CYPRESS PT, WASHINGTON, IL 61571-4004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.014948
IL
Other
Enumeration date
05/07/2009
Last updated
05/07/2009
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