Individual
AMY E MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
400 KENT RD, RIVERSIDE, IL 60546-1714
(708) 627-1910
Mailing address
400 KENT RD, RIVERSIDE, IL 60546-1714
(773) 550-1103
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005750
IL
Other
Enumeration date
03/16/2007
Last updated
01/11/2023
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