Individual
AMANDA ALEXIS MAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1805 VERNON RD STE A, LAGRANGE, GA 30240-3871
(706) 845-9383
Mailing address
237 CECIL WAY, MCDONOUGH, GA 30252-7432
(570) 878-3643
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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