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1871763201
AMANDA M. DATSON
CHICAGO, IL
NPI
1871763201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056.006824)
Enumeration Date
2008-02-29
Last Update Date
2008-02-29
Business Address
Mrs. AMANDA M. DATSON OTR/L
345 E SUPERIOR ST
CHICAGO, IL 60611-2654
Phone number: 312-238-1121
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Mailing Address
Mrs. AMANDA M. DATSON OTR/L
3134 W BLOOMINGDALE AVE
CHICAGO, IL 60647-5163
Phone number: 773-486-4611
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