Individual
AMY MARIE GLADIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070025778
IL
2255A2300X
Athletic Trainer
096005144
IL
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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