Individual
AMANDA CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 KY ROUTE 321, PRESTONSBURG, KY 41653-9113
(606) 886-7598
Mailing address
5000 KY ROUTE 321, PRESTONSBURG, KY 41653-9113
(606) 886-7598
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A03838
KY
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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