Individual
AMY LOFTHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5203 S HARLAN DR, ROCHELLE, IL 61068-9110
(815) 970-5362
Mailing address
5203 S HARLAN DR, ROCHELLE, IL 61068-9110
(815) 970-5362
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/14/2017
Last updated
02/14/2017
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