Individual
AMANDA MADELINE RICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4341 SPYRES WAY, MODESTO, CA 95356-9259
(209) 524-7488
(209) 522-7488
Mailing address
4341 SPYRES WAY, MODESTO, CA 95356-9259
(209) 524-7488
(209) 522-7488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
305593
CA
2251C2600X
Cardiopulmonary Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251P0200X
Pediatric Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
03/20/2024
Last updated
01/24/2025
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