Individual
AMANDA SUE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
425 W FIFTH ST, EAST LIVERPOOL, OH 43920-2405
(330) 386-2054
(330) 386-2679
Mailing address
1330 10TH STREET EXT, WELLSVILLE, OH 43968-9628
(330) 383-5357
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
OH10247
OH
Other
Enumeration date
02/21/2014
Last updated
06/20/2017
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