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Individual

AMANDA JANE SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
680 S 4TH ST, LOUISVILLE, KY 40202-2407
(502) 596-7640
Mailing address
3059 WHITEHAVEN CIR, GALESBURG, IL 61401-8688

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070016533
IL

Other

Enumeration date
07/09/2013
Last updated
07/09/2013
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