Individual
MRS. KELLEY ANNE AMPTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2253 OVERLAND RD, SYCAMORE, IL 60178-8929
(630) 988-1331
Mailing address
2253 OVERLAND RD, SYCAMORE, IL 60178-8929
(630) 988-1331
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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