Doctor Name: | ANDREA MAGYAR GADSON |
NPI Number: | 1033422118 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 070009475 |
Business Practice Address: | 1875 Dempster St Park Ridge, IL - 600681186 |
Business Phone Number: | 8477237856 |
Business Fax Number: | 8477238644 |
Mailing Address: | 1875 Dempster St, PARK RIDGE |
State: | IL |
Postal Code: | 600681186 |
Phone Number: | 8477237856 |
Fax Number: | 8477238644 |
NPI Enumeration Date: | 07/19/2010 |
NPI Last Update Date: | 07/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | 070009475 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |