Individual
AMANDA E THOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1301 N DIVISION AVE, SANDPOINT, ID 83864-8268
(208) 265-0610
(208) 265-9192
Mailing address
1301 N DIVISION AVE, SANDPOINT, ID 83864-8268
(208) 265-0610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1200983
TX
225100000X
Physical Therapist
40QA01360700
NJ
225100000X
Physical Therapist
Primary
PT-4757
ID
Other
Enumeration date
10/25/2010
Last updated
03/29/2019
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