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Individual
AMANDA AGUILERA
Active
Individual
AMANDA AGUILERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070016790
IL
225100000X
Physical Therapist
Primary
24233
MD
225100000X
Physical Therapist
8885
TN
225100000X
Physical Therapist
PT010212
GA
Other
Enumeration date
03/10/2011
Last updated
10/14/2014
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