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AMANDA AREVALO PT, MS, PCS

Pediatrics >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1518018399

Individual Registrant:
 AMANDA  AREVALO PT, MS, PCS
Gender: F
Not Sole Proprietor

Location and contact information for practice:
6915 30TH PL  BERWYN, IL 60402-2957 US
Tel: 708-602-1581  Fax: 708-484-8841

Contact information for business:
6915 30TH PL  BERWYN, IL 60402-2957 US
Tel: 708-602-1581  Fax: 708-484-8841

Registration Information:
NPI: 1518018399
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
Pediatrics
IL

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD1634441IL01




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