Individual
MRS. AMANDA LEE MACALUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
(281) 994-8509
Mailing address
2409 DAYTONA CT, FRIENDSWOOD, TX 77546-6003
(713) 294-9400
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2114962
TX
Other
Enumeration date
01/10/2018
Last updated
01/10/2018
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