Individual
AMANDA MICHELLE DASTOLFO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
144 MAGNOLIA DR, CAPE MAY COURT HOUSE, NJ 08210-2141
(609) 465-7171
Mailing address
144 MAGNOLIA DR, CAPE MAY COURT HOUSE, NJ 08210-2141
(609) 465-7171
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00380200
NJ
225200000X
Physical Therapy Assistant
PTA29573
FL
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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