Individual
AMANDA HELEN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 MONTGOMERY ST, SAN FRANCISCO, CA 94104-3402
(415) 986-4979
Mailing address
3554 SHEARER AVE, CAYUCOS, CA 93430-1837
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
292934
CA
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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