Individual
AMANDA HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Contact information
Practice address
25381 RAILROAD CANYON RD STE 1101, LAKE ELSINORE, CA 92532-2705
(951) 244-8404
Mailing address
25381 RAILROAD CANYON RD STE 1101, LAKE ELSINORE, CA 92532-2705
(951) 244-8404
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40827
CA
Other
Enumeration date
12/09/2013
Last updated
12/06/2022
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