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Individual

DR. AMANDA D WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
6726 MANCHESTER AVE, SAINT LOUIS, MO 63139-3525
(314) 647-0081
(314) 647-5485
Mailing address
70 JUNGERMAN CR STE 304, ST. PETERS, MO 63376

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2251P0200X
Pediatric Physical Therapist
Primary

Other

Enumeration date
05/28/2010
Last updated
09/23/2016
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