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Individual

MRS. AMANDA ALLISON MACDADE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1565 SAXON BLVD, 301, DELTONA, FL 32725-5876
(386) 851-0901
Mailing address
1565 SAXON BLVD, 301, DELTONA, FL 32725-5876
(386) 851-0901

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22939
FL

Other

Enumeration date
03/12/2012
Last updated
03/13/2012
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