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Individual

AMANDA LARABEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
1500 VILLA RD, SPRINGFIELD, OH 45503-1656
(937) 390-9000
Mailing address
951 E BLEE RD, SPRINGFIELD, OH 45502-7424
(937) 215-5739

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10807
OH

Other

Enumeration date
08/29/2018
Last updated
08/29/2018
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