Individual
AMBER ANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4617 W 20TH ST UNIT A, GREELEY, CO 80634-3207
(970) 352-9022
(970) 352-9048
Mailing address
930 DEERHURST CIR, FORT COLLINS, CO 80525-6917
(970) 218-8505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-03398
KS
225100000X
Physical Therapist
2004021780
MO
225100000X
Physical Therapist
Primary
PTL.0011088
CO
Other
Enumeration date
02/02/2007
Last updated
06/24/2013
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