Individual
AMANDA PODLUCKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
429 MANOR DR, SUITE 10, EBENSBURG, PA 15931-4917
(814) 472-6060
Mailing address
429 MANOR DR, SUITE 10, EBENSBURG, PA 15931-4917
(814) 472-6060
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1003013
PA
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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