Individual
AMANDA EAGLESON GILLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
452 WESTMINSTER RD, ROCKVILLE CENTRE, NY 11570-1441
(516) 993-0915
Mailing address
452 WESTMINSTER RD, ROCKVILLE CENTRE, NY 11570-1441
(516) 993-0915
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
014810-1
NY
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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