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Individual

AMANDA L PETERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
75 EVELYN DR, MILLERSBURG, PA 17061-1258
(717) 692-4708
(717) 692-5464
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
DAPT001605
PA
225100000X
Physical Therapist
Primary
PT017552
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1014216270001
PA
Enumeration date
06/14/2006
Last updated
03/04/2019
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