Individual
AMANDA ALICIA ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
619 EAGLES LNDG, WOODSTOCK, GA 30188-6025
(347) 820-2161
Mailing address
619 EAGLES LNDG, WOODSTOCK, GA 30188-6025
(347) 820-2161
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013153
GA
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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