Individual
MRS. AMANDA LYNN MCCAULEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
130 LUBRONO DR, ANNAPOLIS, MD 21401-7037
(410) 573-1064
(410) 573-1065
Mailing address
2224 MONTAUK DR, CROFTON, MD 21114-3238
(410) 793-0776
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2607
MD
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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