Individual
AMANDA PIOLATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6905 HOSPITAL DR, SUITE 130, DUBLIN, OH 43016-9600
(614) 923-0300
(614) 923-0400
Mailing address
335 GLESSNER AVE, MANSFIELD, OH 44903-2269
(419) 520-2495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0208165
—
OH
Enumeration date
01/11/2016
Last updated
03/13/2017
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