Individual
MS. AMANDA GROB-FITZGIBBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3130 MARKET ST, FAYETTEVILLE, AR 72703
(479) 595-0599
Mailing address
2196 N WINWOOD DR, FAYETTEVILLE, AR 72703-3114
(479) 443-6503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3003
AR
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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