Individual
AMANDA PATANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
600 FORT ST, SUITE 100, PORT HURON, MI 48060-3941
(810) 987-9871
(810) 987-6070
Mailing address
600 FORT ST, SUITE 100, PORT HURON, MI 48060-3941
(810) 987-9871
(810) 987-6070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011694
MI
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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