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Individual

AMANDA SHOREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RSA

Contact information

Practice address
988 N ILLINOIS ROUTE 3, WATERLOO, IL 62298-1059
(618) 939-4444
Mailing address
988 N ILLINOIS ROUTE 3, WATERLOO, IL 62298-1059
(618) 939-4444

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
09/11/2019
Last updated
09/11/2019
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