Individual
AMBER NISWANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11868 FITCHWOOD CIR, JACKSONVILLE, FL 32258-4505
(386) 965-4348
Mailing address
11868 FITCHWOOD CIR, JACKSONVILLE, FL 32258-4505
(386) 965-4348
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 19875
FL
Other
Enumeration date
10/03/2015
Last updated
10/03/2015
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