Individual
AMANDA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 747-4000
Mailing address
801 S BRIGGS ST FL 2, JOLIET, IL 60433-9591
(815) 722-1757
(815) 722-1767
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005341
IL
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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