Individual
AMANDA MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12804 WEST HILDALGO, AVONDALE, AZ 85323
(731) 661-1504
Mailing address
12804 WEST HILDALGO, AVONDALE, AZ 85323
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11093A
AZ
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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