Individual
AMANDA LAUREL KINBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4880 N SHERMAN STREET EXT, MOUNT WOLF, PA 17347-9637
(717) 266-9294
Mailing address
4880 N SHERMAN STREET EXT, MOUNT WOLF, PA 17347-9637
(717) 266-9294
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT031296
PA
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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