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Individual

AMANDA AFFETTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
2319 N ORCHARD ST, CHICAGO, IL 60614-3303
(773) 755-7793
Mailing address
1418 PETERSON AVE, PARK RIDGE, IL 60068-5056

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.010627
IL

Other

Enumeration date
06/29/2015
Last updated
06/29/2015
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