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Individual

AMANDA C FONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1650 RESPONSE RD, SACRAMENTO, CA 95815-4807
(916) 614-4260
(916) 614-4210
Mailing address
1650 RESPONSE RD, SACRAMENTO, CA 95815-4807

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 30251
CA

Other

Enumeration date
12/15/2006
Last updated
05/31/2023
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