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Individual

AMANDA PAIGE DETRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, PT, DPT

Contact information

Practice address
1460 RITCHIE HWY, ARNOLD, MD 21012-2730
(410) 626-8350
Mailing address
209 LAKE SHORE DR, PASADENA, MD 21122-5143
(410) 440-7024

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25584
MD

Other

Enumeration date
07/18/2014
Last updated
08/03/2015
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