Individual
MISS AMANDA HALL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1068 MAIN ST, SUITE A, SANFORD, ME 04073-3606
(207) 324-6789
(207) 324-6789
Mailing address
1068 MAIN ST, SUITE A, SANFORD, ME 04073-3606
(207) 324-6789
(207) 324-6789
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA2837
ME
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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