Individual
AMANDA KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1729 ROCHESTER RD, TROY, MI 48083-1833
(248) 707-0136
Mailing address
17465 NORMANDY DR, MACOMB, MI 48044-5578
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017913
MI
Other
Enumeration date
11/07/2016
Last updated
03/17/2018
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