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Individual

AMANDA COLON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
14764 SYLVAN ST, UNIT 2, VAN NUYS, CA 91411-2294
(541) 517-6873
Mailing address
14764 SYLVAN ST, UNIT 2, VAN NUYS, CA 91411-2294
(541) 517-6873

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
291093
CA

Other

Enumeration date
05/10/2017
Last updated
05/10/2017
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