Individual
AMANDA DEANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6401 SOUTHDALE HOSPITAL, LL3G, EDINA, MN 55435
(952) 924-8091
Mailing address
1120 NORTHWOOD DR APT 231, EAGAN, MN 55121-2066
(860) 836-7446
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10517
MN
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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