Individual
MRS. AMANDA LEE MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10454 160TH ST, GLENCOE, MN 55336-7420
(952) 649-7902
Mailing address
10454 160TH ST, GLENCOE, MN 55336-7420
(952) 649-7902
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2092173
TX
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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