Individual
ALEXIS AMENDOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 BURWASH AVE, SAVOY, IL 61874-9572
(217) 402-9700
Mailing address
31 SALVATORE DR, NORTH HAVEN, CT 06473-4111
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008848
AZ
Other
Enumeration date
04/22/2020
Last updated
11/08/2023
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