Individual
AMANDA JO ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11623 ARBOR ST, OMAHA, NE 68144-2981
(866) 334-1919
Mailing address
11623 ARBOR ST, OMAHA, NE 68144-2981
(866) 334-1919
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1209540
TX
225100000X
Physical Therapist
4455
OK
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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