Individual
MISS AMANDA CAPPUCCETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
131 BLUEGRASS CIR, MOORESVILLE, NC 28117-6500
(704) 978-9708
Mailing address
131 BLUEGRASS CIR, MOORESVILLE, NC 28117-6500
(704) 978-9708
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5386
NC
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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