Individual
MRS. AMANDA LEIGH NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1631 RITTER DR, DANIELS, WV 25832-9264
(304) 663-1208
Mailing address
1631 RITTER DR, DANIELS, WV 25832-9264
(304) 663-1208
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001638
WV
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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