Individual
AMANDA E BACKSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 SUMMER ST, BRIDGEWATER, MA 02325-0001
(774) 285-3479
Mailing address
27 BIRCHWOOD DR, EAST TAUNTON, MA 02718-1501
(774) 285-3479
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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