Individual
ANGELA EHRGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1525 E MAIN ST, STREATOR, IL 61364-3162
(815) 672-4516
Mailing address
1525 E MAIN ST, STREATOR, IL 61364-3162
(815) 672-4516
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070019402
IL
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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