Individual
AMANDA WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 CALDEWELL ROAD, CHERRY HILL, NJ 08084
(856) 348-1175
Mailing address
425 KINGS HWY EAST, HADDONFIELD, NJ 08033
(800) 774-5516
(856) 429-1613
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01612100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01612100
LICENSE
—
Enumeration date
10/29/2015
Last updated
10/29/2015
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