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Individual

AMANDA AGUILERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
3421 BENSON AVE, SUITE 100, BALTIMORE, MD 21227-1056
(410) 644-1880
(410) 644-6048
Mailing address
3421 BENSON AVE, SUITE 100, BALTIMORE, MD 21227-1056
(410) 644-1880
(410) 644-6048

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070016790
IL
225100000X
Physical Therapist
Primary
24233
MD
225100000X
Physical Therapist
8885
TN
225100000X
Physical Therapist
PT010212
GA

Other

Enumeration date
03/10/2011
Last updated
10/14/2014
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