Amanda Rae Mizaur
Amanda Rae Mizaur is a Developmental Therapist in Peotone, Illinois. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
524 W North StPeotone, IL 60468-8848
Phone: (708) 738-5127
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1588483408 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 8, 2024 |
| Last updated in NPPES | October 8, 2024 |
| Certification date | October 8, 2024 |
| Mailing address | 524 W North St, Peotone, IL 60468-8848 |
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