MRS. AMY KOUDELKA
Physical Therapist
Active
Individual
NPI: 1215101191
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapist | 225100000X | Yes | 070010691 (IL) |
Frequently Asked Questions
NPI 1215101191 is the National Provider Identifier for MRS. AMY KOUDELKA, a Physical Therapist provider located in Sparta, IL. This NPI was enumerated on April 22, 2008.
MRS. AMY KOUDELKA practices at 1300 N MARKET ST, Sparta, IL 62286.
Quick Facts
- NPI
- 1215101191
- Type
- Individual
- Enumerated
- Apr 22, 2008
- Last Updated
- Jul 5, 2012
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