Individual
AMANDA MAKOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6715 DORR ST., TOLEDO, OH 43615
(419) 868-1178
(419) 868-1989
Mailing address
PO BOX 400, HOLLAND, OH 43528
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
2251S0007X
Sports Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0359290
—
OH
Enumeration date
07/16/2019
Last updated
11/16/2020
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