Individual
AMY CAROLINE AQUADRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
121 N 20TH ST, BLDG 7, OPELIKA, AL 36801-5449
(334) 528-0078
Mailing address
121 N 20TH ST, BLDG 7, OPELIKA, AL 36801-5449
(334) 528-0078
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA856
AL
363A00000X
Physician Assistant
T-01551
KS
Other
Enumeration date
09/19/2007
Last updated
11/14/2013
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