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Individual

MS. AMANDA MARIE IMPERIALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT, DPT

Contact information

Practice address
354 MAIN ST, FOREST CITY, PA 18421-1418
(570) 785-2018
(570) 785-2061
Mailing address
15 GILBERT ST, CARBONDALE, PA 18407-1714
(570) 282-4622

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016574
PA

Other

Enumeration date
06/01/2006
Last updated
05/31/2017
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