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Individual

AMANDA THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
1111 TRINITY LN, BLOOMINGTON, IL 61704-8111
(309) 663-6461
(309) 663-5711
Mailing address
611 W. PARK ST, FAPC, URBANA, IL 61801

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0013816
CO
225100000X
Physical Therapist
Primary
070020775
IL
225100000X
Physical Therapist
3033
NV

Other

Enumeration date
09/05/2014
Last updated
02/15/2024
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