Individual
AMANDA WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
507 W JACKSON ST, BURNET, TX 78611-3012
(512) 756-6044
Mailing address
507 W JACKSON ST, BURNET, TX 78611-3012
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2113681
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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