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Individual

MRS. AMANDA JEAN HERROLD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
404 RIVERVIEW TER, DAUPHIN, PA 17018-9104
(201) 248-2256
Mailing address
404 RIVERVIEW TER, DAUPHIN, PA 17018-9104
(201) 248-2256

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019884
PA

Other

Enumeration date
11/01/2010
Last updated
11/01/2010
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