Individual
AMABELLE ESTOQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
201 S 14TH ST, HERRIN, IL 62948-3631
(618) 942-2171
Mailing address
PO BOX 674, HERRIN, IL 62948-0674
(859) 408-5209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.023380
IL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
08/21/2021
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