Organization
MOXIE PELVIC HEALTH AND WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMBER D DA GAMA ROSE DPT (PHYSICAL THERAPIST/OWNER)
(217) 320-3707
Entity
Organization
Contact information
Practice address
35 EXECUTIVE PLAZA CT, MARYVILLE, IL 62062-5838
(618) 226-8277
Mailing address
1830 BINNEY STATION RD, STAUNTON, IL 62088-4425
(217) 320-3707
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2023
Last updated
04/05/2024
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