Individual
AMANDA M GARLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12276 SAN JOSE BLVD STE 717, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32223-8674
(904) 288-9604
(904) 288-9643
Mailing address
PO BOX 40767, CREDENTIALING DEPARTMENT, JACKSONVILLE, FL 32203-0767
(904) 376-3707
(904) 391-5807
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT24736
FL
2255A2300X
Athletic Trainer
AL1970
FL
Other
Enumeration date
04/23/2009
Last updated
02/04/2015
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