Individual
AMANDA CHRISTINE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1626 DAVIS RD, WEST PALM BEACH, FL 33406-5640
(561) 439-8897
Mailing address
1626 DAVIS RD, WEST PALM BEACH, FL 33406-5640
(561) 439-8897
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
28345
FL
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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