Individual
AMANDA GLOWACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 EASTWOOD AVE, AUBURN, NY 13021-5503
(315) 515-1155
Mailing address
123 EASTWOOD AVE, AUBURN, NY 13021-5503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
035417-1
NY
225100000X
Physical Therapist
2305207750
VA
225100000X
Physical Therapist
PT022343
PA
Other
Enumeration date
02/22/2013
Last updated
02/22/2013
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