Individual
AMANDA BORHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
514 S ADDISON AVE, LOMBARD, IL 60148-3107
(630) 656-1057
Mailing address
514 S ADDISON AVE, LOMBARD, IL 60148-3107
(630) 656-1057
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.005059
IL
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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