Individual
AMANDA J BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6332 W IRMA LN, GLENDALE, AZ 85308-6609
(630) 309-0279
Mailing address
6332 W IRMA LN, GLENDALE, AZ 85308-6609
(630) 309-0279
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-033567
AZ
Other
Enumeration date
09/29/2006
Last updated
06/25/2024
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