Individual
AMANDA TIBBETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1615 MIAMI RD, FT LAUDERDALE, FL 33316-2933
(951) 523-5673
(954) 467-9580
Mailing address
1919 VAN BUREN ST, APT 218, HOLLYWOOD, FL 33020-7810
(561) 704-7588
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19284
FL
Other
Enumeration date
11/20/2006
Last updated
01/23/2012
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