Individual
AMANDA M NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
16815 S DESERT FOOTHILLS PKWY, PHOENIX, AZ 85048-8401
(480) 704-5954
Mailing address
1673 N MARKETSIDE AVE, BUCKEYE, AZ 85396-2036
(740) 739-3896
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-013118
—
225100000X
Physical Therapist
PT016941
OH
Other
Enumeration date
06/19/2017
Last updated
07/22/2020
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