Individual
AMANDA HEDGES FULENWIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
15420 S HARRELLS FERRY RD STE D, BATON ROUGE, LA 70816-2933
(225) 769-2200
(833) 756-2680
Mailing address
10101 PARK ROWE AVE STE 200, BATON ROUGE, LA 70810-1685
(225) 769-2200
(833) 756-2680
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08793
LA
Other
Enumeration date
10/09/2014
Last updated
03/25/2025
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