AMELIA SHARMAINE LONGSWORTH

EVANSTON, IL
NPI1851853006
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
Enumeration Date2019-04-04
Last Update Date2021-11-01
Business Address
AMELIA SHARMAINE LONGSWORTH
813 WASHINGTON ST APT 1N
EVANSTON, IL 60202-2261
Phone number: 773-707-8910
Mailing Address
AMELIA SHARMAINE LONGSWORTH
7212 W GREENLEAF ST
NILES, IL 60714-2116
Phone number: 773-707-8910