Individual
MRS. AMANDA DUCKWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9800 OUTER LINCOLN AVE, NEWBURGH, IN 47630-2440
(812) 801-4358
Mailing address
815 S HALL ST, PRINCETON, IN 47670-2331
(812) 893-1011
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004974A
IN
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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