Individual
AMANDA MARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2338 N US HIGHWAY 35, LA PORTE, IN 46350-8380
(219) 325-0060
(219) 325-9919
Mailing address
600 OAKMONT LN, STE 600C, WESTMONT, IL 60559-5548
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011291A
IN
Other
Enumeration date
12/09/2013
Last updated
07/12/2018
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