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1154751493
AMANDA THEISINGER
CHICAGO, IL
NPI
1154751493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070020070)
Enumeration Date
2013-11-23
Last Update Date
2013-11-23
Business Address
-- AMANDA THEISINGER
1725 W HARRISON ST SUITE 440
CHICAGO, IL 60612-3841
Phone number: 312-563-2454
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Mailing Address
-- AMANDA THEISINGER
1725 W HARRISON ST SUITE 440
CHICAGO, IL 60612-3841
Phone number:
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