Individual
AMANDA J WAIDANZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
513 CREIGHTON LN, SCHAUMBURG, IL 60193-3013
(847) 534-0891
Mailing address
513 CREIGHTON LN, SCHAUMBURG, IL 60193-3013
(847) 534-0891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.006866
IL
Other
Enumeration date
06/06/2008
Last updated
08/04/2010
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