Individual
AMANDA VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1651 RICHFIELD RD, HIGHLAND PARK, IL 60035-2950
(224) 765-0094
Mailing address
3121 W JARLATH ST, CHICAGO, IL 60645-1129
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056012899
IL
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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