Individual
AMANDA SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
13937 S SPRAGUE LN, DRAPER, UT 84020-7863
(385) 308-8034
Mailing address
1350 N WELLS ST APT A314, CHICAGO, IL 60610-8063
(973) 879-4137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070026458
IL
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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