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Individual

AMANDA PISANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L, QMHP

Contact information

Practice address
1400 W GREENLEAF AVE, CHICAGO, IL 60626-2805
(773) 508-6100
Mailing address
3642 N WAYNE AVE, CHICAGO, IL 60613-3714
(773) 208-2063

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013503
IL

Other

Enumeration date
05/11/2020
Last updated
05/11/2020
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