Individual
AMANDA L WION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5978
Mailing address
870 SMITHSON AVE, ERIE, PA 16511-2070
(814) 460-2078
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2085240
TX
225200000X
Physical Therapy Assistant
TE007434
PA
225200000X
Physical Therapy Assistant
Primary
TEI002798
PA
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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