Individual
ALEXIS AMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2214 20TH ST W, BRADENTON, FL 34205-4504
(941) 779-6958
Mailing address
2214 20TH ST W, BRADENTON, FL 34205-4504
(941) 779-6958
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28638
FL
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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