Individual
AMANDA TILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Contact information
Practice address
622 W 168TH ST PH 11-102, NEW YORK, NY 10032-3720
(212) 305-4878
Mailing address
622 W 168TH ST PH 11-102, NEW YORK, NY 10032-3720
(212) 305-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
039433
NY
225100000X
Physical Therapist
PT023741
PA
2251X0800X
Orthopedic Physical Therapist
Primary
039433
NY
Other
Enumeration date
07/31/2014
Last updated
01/22/2025
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