Most Relevant Information
Provider Data
| NPI Number: | 1003413568 |
| Provider Name: | AMY ROHAN |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/07/2020 |
| Last Updated: | 10/07/2020 |
Provider Practice Location
17545 MULBERRY AVE
TINLEY PARK
IL
604876163
Practice Location Phone/Fax
| Phone: | 7082509679 |
| Fax: |
Provider Mailing Location
17545 MULBERRY AVE
TINLEY PARK
IL
604876163
Provider Mailing Phone/Fax
| Phone: | 7082509679 |
| Fax: |