Individual
AMANDA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
444 FOUR STATES DR, 1, GALENA, KS 66739-4324
(620) 783-4441
(620) 783-4444
Mailing address
PO BOX 2546, JOPLIN, MO 64803-2546
(620) 783-4441
(620) 783-4444
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-02112
KS
225200000X
Physical Therapy Assistant
2009028448
MO
Other
Enumeration date
01/08/2010
Last updated
12/30/2011
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