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1275601817
AMY BETH SO
MOKENA, IL
NPI
1275601817
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070007987)
Enumeration Date
2006-12-01
Last Update Date
2007-07-08
Business Address
Mrs. AMY BETH SO P.T.
19821 S. LAGRANGE ROAD
MOKENA, IL 60448
Phone number: 708-478-6996
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Mailing Address
Mrs. AMY BETH SO P.T.
2868 TANAGA BASIN
NEW LENOX, IL 60451-2982
Phone number: 815-485-0619
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