Amanda Pisani, OTR/L, QMHP
Occupational Therapist in Chicago, IL. Individual provider (NPI-1).
NPI number1699397802
StatusActive
Last updated in NPPESMay 11, 2020
Details
- NPI
- 1699397802
- Entity type
- Individual (NPI-1)
- Name
- Amanda Pisani
- Credential
- OTR/L, QMHP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 11, 2020
- Certification date
- May 11, 2020
- Last updated
- May 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 056.013503 | IL | Yes |
Practice location
1400 W Greenleaf AveChicago, IL 60626-2805
Phone 773-508-6100
Mailing address
3642 N Wayne AveChicago, IL 60613-3714
Phone 773-208-2063
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