Individual
AMANDA KELLY ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 26TH ST, TUSCALOOSA, AL 35401-5817
(334) 354-7236
Mailing address
8401 OLD GREENSBORO RD, TUSCALOOSA, AL 35405-8646
(334) 354-7236
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
10/29/2017
Last updated
10/29/2017
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