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Individual
AMANDA LEE FLEMING
Active
Individual
AMANDA LEE FLEMING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305204535
VA
225100000X
Physical Therapist
6604
TN
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
2305204535
VA
Other
Enumeration date
04/16/2008
Last updated
10/25/2021
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