Individual
AMANDA BETH GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
1185 W CARMEL DR BLDG C, CARMEL, IN 46032-8708
(317) 415-6980
Mailing address
1185 W CARMEL DR BLDG C, CARMEL, IN 46032-8708
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
05011191A
IN
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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