Individual
AMANDA RAGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
956 INTERNATIONAL PKWY, LAKE MARY, FL 32746-5219
(407) 936-0314
(407) 936-0316
Mailing address
711 MEREDITH ST, FERN PARK, FL 32730-2013
(407) 462-5663
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25765
FL
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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