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Individual

AMANDA MARIE CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT, OTR/L

Contact information

Practice address
400 OAK RIDGE CT, LAKE BLUFF, IL 60044-1346
(630) 781-6760
Mailing address
400 OAK RIDGE COURT, LAKE BLUFF, IL 60044
(630) 781-6760

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.007720
IL

Other

Enumeration date
08/12/2010
Last updated
02/06/2015
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