Individual
AMANDA KAITLYN BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
7205 ESTERO BLVD UNIT 5, FORT MYERS BEACH, FL 33931-4786
(239) 314-5118
(239) 314-5119
Mailing address
7205 ESTERO BLVD UNIT 5, FORT MYERS BEACH, FL 33931-4786
(301) 751-9831
(239) 314-5119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305210593
VA
225100000X
Physical Therapist
PT013383
GA
225100000X
Physical Therapist
Primary
PT32135
FL
Other
Enumeration date
10/06/2016
Last updated
04/08/2019
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