Individual
MICHELLE ALICE AMATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2500 NESHAMINY INTERPLEX DR, TREVOSE, PA 19053-6943
(267) 991-7633
(267) 991-7618
Mailing address
3311 FRIENDSHIP ST, PHILADELPHIA, PA 19149-1619
(607) 727-4949
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
OC011970
PA
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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