Individual
AMANDA JEAN RICHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
2730 HAZELWOOD ST APT 208, MAPLEWOOD, MN 55109-1134
(651) 270-8428
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13525
MN
Other
Enumeration date
06/06/2024
Last updated
06/21/2024
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