Individual
JOHN AMANTEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
14425 FOUR CHIMNEY DR, CENTREVILLE, VA 20120-3220
(571) 245-7273
Mailing address
14425 FOUR CHIMNEY DR, CENTREVILLE, VA 20120-3220
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602571
VA
Other
Enumeration date
02/12/2012
Last updated
02/12/2012
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