Individual
AMY THERESE CLYSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5669 N NORTHWEST HWY, CHICAGO, IL 60646-6153
(773) 467-5669
(773) 631-2926
Mailing address
1006 W DAKIN ST APT 3, CHICAGO, IL 60613-0170
(651) 308-6084
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.025949
IL
Other
Enumeration date
07/25/2021
Last updated
07/27/2021
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