Individual
MRS. AMANDA MARIA WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7000 SW 62ND AVE, SUITE 120, SOUTH MIAMI, FL 33143-4716
(305) 666-7116
Mailing address
11320 SW 74TH AVE, MIAMI, FL 33156-4513
(305) 282-6620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28990
FL
Other
Enumeration date
03/19/2014
Last updated
05/25/2016
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