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Individual

AMY HARMENING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
11528 W 183RD ST, ORLAND PARK, IL 60467-9467
(708) 326-1700
(773) 337-9106
Mailing address
PO BOX 66530, CHICAGO, IL 60666-0530
(708) 326-1700
(773) 337-9106

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070018143
LICENSE
IL
Enumeration date
07/01/2010
Last updated
02/14/2012
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