Individual
AMANDA PAIGE YANULEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6300 WOODSIDE CT STE 5, COLUMBIA, MD 21046-3210
(410) 312-9000
Mailing address
14843 FREDERICK RD, WOODBINE, MD 21797-8631
(410) 489-7383
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24638
MD
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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