Organization
AMANDA RAFFERTY DPT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA RAFFERTY PT (OWNER/PHYSICAL THERAPIST)
(773) 835-9072
Entity
Organization
Contact information
Practice address
36 MAIN ST STE 100, PARK RIDGE, IL 60068-4059
(773) 835-9072
Mailing address
1712 S VINE AVE, PARK RIDGE, IL 60068-5421
(773) 835-9072
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
01/23/2024
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