Individual
MRS. AMANDA L STAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1020 N UNION ST, MIDDLETOWN, PA 17057-2158
(717) 712-6030
Mailing address
1765 WELLINGTON DR, MIDDLETOWN, PA 17057-3425
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI003784
PA
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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