Individual
AMANDA HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
270 N MOLALLA AVE, MOLALLA, OR 97038-8885
(503) 698-5500
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP019018T
OR
225100000X
Physical Therapist
LPT-32896
AZ
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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