Individual
AMANDA B DORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
521 E CEDAR AVE STE A, CRESTVIEW, FL 32539-2860
(850) 331-3017
(850) 331-6635
Mailing address
521 E CEDAR AVE STE A, CRESTVIEW, FL 32539-2860
(850) 331-3017
(850) 331-6635
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A-0913
NM
225200000X
Physical Therapy Assistant
Primary
PTA27513
FL
Other
Enumeration date
11/15/2012
Last updated
01/31/2020
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