Individual
AMBER NICOLE KINGERY MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1315 N BOURLAND AVE, PEORIA, IL 61606-1214
(309) 258-2040
Mailing address
6501 N SHERIDAN RD, PEORIA, IL 61614-2932
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IL
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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