Individual
MS. AMBER D DA GAMA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
35 EXECUTIVE PLAZA CT, MARYVILLE, IL 62062-5838
(618) 226-8277
Mailing address
35 EXECUTIVE PLAZA CT, MARYVILLE, IL 62062-5838
(618) 226-8277
(618) 228-4481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012212
IL
Other
Enumeration date
11/03/2008
Last updated
04/05/2024
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