Individual
AMANDA KATHERINE SO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
900 VETERANS BLVD STE 230, REDWOOD CITY, CA 94063-1740
(650) 701-0390
Mailing address
900 VETERANS BLVD STE 230, REDWOOD CITY, CA 94063-1740
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
300812
CA
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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