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Individual

MRS. AMANDA TEMPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
513 W UNION ST, NEWARK, NY 14513-1365
(315) 331-3784
(315) 331-4667
Mailing address
513 W UNION ST, NEWARK, NY 14513-1365
(315) 331-3784
(315) 331-4667

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022698-1
NY

Other

Enumeration date
09/20/2006
Last updated
07/08/2007
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