Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA RAE MIZAUR
Active Sole ProprietorAMANDA RAE MIZAUR is a Developmental Therapist healthcare provider located in PEOTONE, Illinois. NPI 1588483408 is currently active in the NPPES registry. Verify at CMS.
Developmental Therapist · PEOTONE, IL
Registration Details
- NPI Number
- 1588483408
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 8, 2024 (1.8451429770817 yrs)
- Last Updated
- Oct 8, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
524 W NORTH STPEOTONE, IL, 604688848Browse IL providers · Browse ZIP 60468
- Phone
- 7087385127
- Primary Specialty
-
Developmental Therapist
222Q00000X
Other Developmental Therapist Providers in PEOTONE, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. TAMMIE LYNN ANDERSEN | — | 1760619431 |
| MS. JAMI LYNN BAUMGARTNER | — | 1255655312 |
| DANIELLE JEAN JACQUES | — | 1043515307 |
| MOIRA DOROTHY BURKE | — | 1528794310 |
| CANDICE HANSON | — | 1891646543 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.