Individual
AMANDA R DIGANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3232 LAKE AVE, WILMETTE, IL 60091-1073
(224) 266-9411
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-021772
IL
225100000X
Physical Therapist
070021772
IL
225100000X
Physical Therapist
PT4461
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228805721
—
AR
Enumeration date
09/02/2015
Last updated
10/17/2024
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