Individual
AMANDA JEAN GAIKWAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1601 BUTTERFIELD TRL, KANKAKEE, IL 60901-2959
(815) 936-6500
Mailing address
2233 SPRUCE RD, HOMEWOOD, IL 60430-1047
(708) 829-0491
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.011686
IL
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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