Individual
AMANDA L WENGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
426 E 162ND ST, SOUTH HOLLAND, IL 60473-2258
(708) 333-0677
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070022834
IL
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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