Individual
MS. AMANDA C FENNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6101 NORTHWEST BLVD, DAVENPORT, IA 52806-1861
(563) 449-7004
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
082741
IA
Other
Enumeration date
05/25/2016
Last updated
03/06/2024
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