AMANDA J JOHNSON

PEORIA, IL
NPI1710011077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146-008776)
Enumeration Date2007-03-16
Last Update Date2007-07-08
Business Address
-- AMANDA J JOHNSON Speech Therapist
507 E ARMSTRONG AVE
PEORIA, IL 61603-3201
Phone number: 309-686-1177
Mailing Address
-- AMANDA J JOHNSON Speech Therapist
8 ROSEWOOD CT
BLOOMINGTON, IL 61704-4834
Phone number: 309-738-4906