Individual
DR. AMANDA CHRISTINE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, MS, OCS
Contact information
Practice address
4101 BRYAN ST # 140, DALLAS, TX 75204-6724
(972) 914-9204
Mailing address
4214 SWISS AVE UNIT B, DALLAS, TX 75204-6676
(716) 338-3734
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
1269492
TX
225100000X
Physical Therapist
Primary
1269492
TX
225100000X
Physical Therapist
J1-0003351
DE
Other
Enumeration date
07/10/2015
Last updated
02/02/2024
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