Individual
MS. AMANDA AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 S TROY ST # 2, CHICAGO, IL 60623-2260
(512) 815-4442
Mailing address
1655 S TROY ST # 2, CHICAGO, IL 60623-2260
(512) 815-4442
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/17/2016
Last updated
07/17/2016
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