Individual
AMANDA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3014 W WILLIAM CANNON DR APT 1134, AUSTIN, TX 78745-5025
(210) 365-5353
Mailing address
3014 W WILLIAM CANNON DR APT 1134, AUSTIN, TX 78745-5025
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11743A
AZ
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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