Individual
AMANDA MARIE DIPIETRANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 N 4TH ST UNIT 302, PHILADELPHIA, PA 19123-1676
(732) 804-5110
Mailing address
1133 N 4TH ST UNIT 302, PHILADELPHIA, PA 19123-1676
(732) 804-5110
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/20/2019
Last updated
01/25/2021
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