Individual
MS. AMANDA SIFUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
395 HARDING ST, DEFIANCE, OH 43512-1315
(419) 784-1450
Mailing address
395 HARDING ST, DEFIANCE, OH 43512-1315
(419) 784-1450
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09141
OH
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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