Individual
AMANDA KANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
1721 PINE ST, PHILADELPHIA, PA 19103-6701
(215) 545-3322
Mailing address
135 S 19TH ST, PHILADELPHIA, PA 19103-4912
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT006316
PA
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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