Individual
DANIELLE SMITH AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1411 S CREASY LN, SUITE 100, LAFAYETTE, IN 47905-7438
(765) 447-5552
(765) 449-1054
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
IN
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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