Individual
MISS AMANDA ICERIA HUNTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 6TH ST, HUNTINGDON, PA 16652-1518
(814) 506-8213
Mailing address
403 6TH ST, HUNTINGDON, PA 16652-1518
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0000846
DE
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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