Individual
AMANDA LOUISE RAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
820 NORTH BLVD, OAK PARK, IL 60301-1351
(708) 524-2445
Mailing address
4063 N KOLMAR AVE, CHICAGO, IL 60641-1917
(773) 793-2374
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056014298
IL
Other
Enumeration date
07/25/2021
Last updated
07/25/2021
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