Individual
AMANDA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6701 COUNTRY CLUB DR, GOLDEN VALLEY, MN 55427-4602
(952) 993-5495
Mailing address
6150 QUINWOOD LN N, #5104, PLYMOUTH, MN 55442-1301
(815) 275-7006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11713-024
WI
225100000X
Physical Therapist
Primary
9481
MN
Other
Enumeration date
07/31/2013
Last updated
11/06/2013
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