Individual
AMANDA MARIE DORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1425 ARCH ST, PHILA, PA 19102-1528
(215) 395-8995
Mailing address
10501 ACADEMY RD, STE N, PHILA, PA 19114-1137
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT026538
PA
Other
Enumeration date
11/28/2017
Last updated
12/06/2019
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