Individual
AMY LIS DANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
311 W DEPOT ST, SUITE N, ANTIOCH, IL 60002-1500
(847) 838-8085
Mailing address
3173 COUNTRY LN, WAUKEGAN, IL 60087-5338
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005926
IL
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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