MRS. Amanda List, DT

NPI #1366880155 in Manhattan, Illinois

Provider Information

NPI Number: 1366880155
Entity Type: Individual
Name: MRS. Amanda List, DT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: DT
Enumeration Date: Jun 13, 2013
Last Updated: Jun 13, 2013

Practice Location

Address: 25632 BARROW RD
City: Manhattan
State: Illinois
ZIP Code: 60442-6250
Phone: (773) 544-9928

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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