Individual
AMANDA NOEL MODROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 N SUMMIT ST, TOLEDO, OH 43604-1806
(419) 671-0001
Mailing address
2332 NEWPORT AVE, TOLEDO, OH 43613-2757
(419) 250-4653
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
COND.2012235-SP
OH
235Z00000X
Speech-Language Pathologist
Primary
SP. 10745
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0849916
—
OH
Enumeration date
06/06/2012
Last updated
05/10/2019
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