Individual
AMANDA ROSE ANNEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E HANNA AVE, INDIANAPOLIS, IN 46227-3630
(317) 788-3368
Mailing address
3852 KNOLLTON RD, INDIANAPOLIS, IN 46228-3329
(317) 690-3247
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
IN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IN
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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