Individual
AMANDA ROETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4950 BUFFALO RD, ERIE, PA 16510-2304
(814) 726-3329
Mailing address
4950 BUFFALO RD STE 104, ERIE, PA 16510-2304
(814) 899-7000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT027544
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT027544
MEDICAL SPECIALTY
PA
Enumeration date
05/24/2019
Last updated
10/07/2020
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