Individual
AMANDA M KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, DPT
Contact information
Practice address
427 W NORTHMOOR RD, PEORIA, IL 61614-3542
(309) 692-5337
(309) 693-3913
Mailing address
427 W NORTHMOOR RD, PEORIA, IL 61614-3542
(309) 692-5337
(309) 693-3913
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-011885
IL
Other
Enumeration date
07/19/2006
Last updated
09/15/2021
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