Individual
MRS. AMANDA LOUISE WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1200 N WESTMORELAND RD, SUITE 200, LAKE FOREST, IL 60045-1601
(847) 535-7553
Mailing address
871 CARROLL RD, LAKE FOREST, IL 60045-4229
(847) 235-5063
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012156
IL
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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