Individual
AMANDA MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4755 S 48TH ST, TACOMA, WA 98409-1919
(253) 475-4611
Mailing address
4755 S 48TH ST, TACOMA, WA 98409-1919
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2143995
TX
225200000X
Physical Therapy Assistant
53759
CA
225200000X
Physical Therapy Assistant
9694
OR
225200000X
Physical Therapy Assistant
CP033316A
WA
225200000X
Physical Therapy Assistant
Primary
PTP-PTA-LIC-15182
MT
Other
Enumeration date
11/29/2018
Last updated
02/19/2025
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