Individual
MS. AMANDA LEE CARNINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1725 N 1ST ST STE D, HERMISTON, OR 97838-1682
(541) 567-5678
(541) 567-2110
Mailing address
PO BOX 90, SUNNYSIDE, WA 98944-0090
(541) 567-5678
(541) 567-2110
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06835
OR
Other
Enumeration date
07/10/2012
Last updated
11/05/2024
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