Individual
AMANDA K GOTTSCHALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
901 DOUGLAS AVE STE 105, ALTAMONTE SPRINGS, FL 32714-2058
(407) 865-7153
(407) 865-7159
Mailing address
336 BROAD ST STE 203, ROME, GA 30161-3006
(407) 865-7153
(407) 865-7159
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P17203
NC
225100000X
Physical Therapist
Primary
PT19571
FL
2251X0800X
Orthopedic Physical Therapist
PT020341
OH
2251X0800X
Orthopedic Physical Therapist
PT19571
FL
Other
Enumeration date
04/10/2007
Last updated
06/29/2023
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