Amber Gore, PT

NPI #1245547363 in Lake Villa, Illinois

Provider Information

NPI Number: 1245547363
Entity Type: Individual
Name: Amber Gore, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 10, 2010
Last Updated: Sep 10, 2010

Practice Location

Address: 89 CEDAR AVE
City: Lake Villa
State: Illinois
ZIP Code: 60046-8411
Phone: (847) 265-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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