Individual
AMANDA WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(863) 617-9400
(863) 688-9858
Mailing address
602 VONDERBURG DR, SUITE 201, BRANDON, FL 33511-5900
(863) 617-9400
(863) 688-9858
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22691
FL
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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