Individual
AMANDA GLAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2201 N CENTRAL EXPY STE 110, RICHARDSON, TX 75080-2718
(214) 265-1819
Mailing address
3771 ALTA VISTA LN, DALLAS, TX 75229-2727
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1162861
TX
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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