Individual
MRS. AMY JO FITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
19020 ILLINOIS ROUTE 16, WITT, IL 62094-2108
(217) 313-8604
Mailing address
19020 ILLINOIS ROUTE 16, WITT, IL 62094-2108
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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