Individual
AMANDA DEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
318 COLUMBUS AVE, SANDUSKY, OH 44870-2616
(440) 320-0689
Mailing address
15717 SPERRY RD, VERMILION, OH 44089-9268
(440) 320-0689
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07714
OH
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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