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Individual

AMANDA BROOKE FORCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
88267 TERRITORIAL RD, SUITE 10A, VENETA, OR 97487-9499
(541) 935-0761
(541) 935-0536
Mailing address
88267 TERRITORIAL RD, SUITE 10A, VENETA, OR 97487-9499
(541) 935-0761
(541) 935-0536

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6122
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500678510
OR
Enumeration date
12/14/2009
Last updated
09/16/2015
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