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Individual

AMY A LOHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070014202
IL
2251S0007X
Sports Physical Therapist
070014202
IL
2251X0800X
Orthopedic Physical Therapist
070104202
IL

Other

Enumeration date
11/16/2006
Last updated
05/06/2016
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