Individual
MRS. AMANDA MONTELL BRASHEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1020 W VINE ST, PRINCETON, IN 47670-1164
(812) 385-5238
Mailing address
1020 W VINE ST, PRINCETON, IN 47670-1164
(812) 385-5238
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003584A
IN
Other
Enumeration date
09/04/2007
Last updated
06/25/2010
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