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1639500200
AMANDA MARRIOTT
LA PORTE, IN
NPI
1639500200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05011291A)
Enumeration Date
2013-12-09
Last Update Date
2018-07-12
Business Address
-- AMANDA MARRIOTT
2338 N US HIGHWAY 35
LA PORTE, IN 46350-8380
Phone number: 219-325-0060
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Mailing Address
-- AMANDA MARRIOTT
600 OAKMONT LN STE 600C
WESTMONT, IL 60559-5548
Phone number: 630-575-6250
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