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1346502515
AMANDA MICHELLE HICKEY
CHICAGO, IL
NPI
1346502515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070019286)
Enumeration Date
2012-06-13
Last Update Date
2016-10-12
Business Address
-- AMANDA MICHELLE HICKEY PT
3852 N CICERO AVE
CHICAGO, IL 60641-3622
Phone number: 773-355-5407
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Mailing Address
-- AMANDA MICHELLE HICKEY PT
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2223
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