Individual
MS. AMANDA MARIE AGTUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2601 18TH ST NE, WASHINGTON, DC 20018-1301
(202) 541-6200
Mailing address
1029 MEADOWVIEW DR, NEW ALBANY, IN 47150-2053
(812) 944-7189
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A04332
KY
225200000X
Physical Therapy Assistant
Primary
PTA2000027
DC
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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