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1780859637
AMANDA MARIE KELLY
PEORIA, IL
NPI
1780859637
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070012521)
Enumeration Date
2008-04-22
Last Update Date
2008-04-22
Business Address
Mrs. AMANDA MARIE KELLY PT
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number: 309-692-8110
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Mailing Address
Mrs. AMANDA MARIE KELLY PT
6501 N SHERIDAN RD
PEORIA, IL 61614-2932
Phone number: 309-692-8110
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