Individual
MS. AMANDA LEIGH MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
285 PROMENADE ST, PROVIDENCE, RI 02908-5719
(401) 459-4008
Mailing address
23 KRISTEE CIR, WEST WARWICK, RI 02893-7511
(401) 821-4314
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT00247
RI
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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