Da Gama Rose, Amber D
Da Gama Rose, Amber D is an individual health care provider with primary practice located at 35 Executive Plaza Ct , Maryville IL 62062-5838. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Da Gama Rose, Amber D can be contacted via phone (618) 226-8277.Contact Information
Primary practice address
35 Executive Plaza Ct
Maryville IL 62062-5838
Phone: (618) 226-8277
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070012212 | Illinois |
Profile Details
| NPI number | 1972756922 |
|---|---|
| LBN Legal business name | Da Gama Rose, Amber D |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2008 |
| Last updated | Apr 5th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Vaughn, Mary
6800 State Route 162 , Maryville IL 62062-8500 -
Driesner, Dawn L
2136 Vadalabene Dr , Maryville IL 62062-5828 -
Hamblin, Christine M.
6800 State Route 162 , Maryville IL 62062-8500 -
Gibson, Nathan John
2086 Vadalabene Drive , Maryville IL 62062 -
Lowe, Kristin Ann
6800 State Route 162 , Maryville IL 62062-8500 -
David, Federico Morta
2928 N. Center St. , Maryville IL 62062 -
Richter, Diane A.
6800 State Route 162 , Maryville IL 62062-8500 -
Helle, Sarah L.
6800 State Route 162 , Maryville IL 62062-8500