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Individual

MS. AMANDA K. HOLLENSBE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
650 DAKOTA ST, CRYSTAL LAKE, IL 60012-3744
(815) 455-6000
Mailing address
650 DAKOTA ST, CRYSTAL LAKE, IL 60012-3744
(815) 455-6000

Taxonomy

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

Other

Enumeration date
05/24/2006
Last updated
07/08/2007
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