AMANDA EILEEN FARRIS

EDWARDSVILLE, IL
NPI1568803658
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  57.003783)
Enumeration Date2013-07-17
Last Update Date2013-07-17
Business Address
-- AMANDA EILEEN FARRIS
5944 WOODED ESTATES LN
EDWARDSVILLE, IL 62025-5811
Phone number: 618-407-1396
Mailing Address
-- AMANDA EILEEN FARRIS
PO BOX 387
EDWARDSVILLE, IL 62025-0387
Phone number: 618-407-1396
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