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Individual

MS. AMANDA E LANCASTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT, DPT, NCS

Contact information

Practice address
5770 S 250 E STE G50, MURRAY, UT 84107-6165
(801) 314-5000
Mailing address
5770 S 250 E STE G50, MURRAY, UT 84107-6165
(801) 314-5000

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62031917
NY
2251N0400X
Neurology Physical Therapist
41353
NY
2251N0400X
Neurology Physical Therapist
8820640-2401
UT

Other

Enumeration date
12/05/2012
Last updated
01/21/2016
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