Individual
MRS. AMANDA LEE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1014 S MOUNT CARMEL PL, PITTSBURG, KS 66762-6604
(620) 235-1500
(620) 235-1508
Mailing address
1014 S MOUNT CARMEL PL, PITTSBURG, KS 66762-6604
(620) 235-1500
(620) 235-1508
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2013011398
MO
Other
Enumeration date
03/09/2014
Last updated
10/31/2014
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