Individual
AMANDA YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
719 DETROIT AVE, DANVILLE, AR 72833-9607
(479) 495-6252
Mailing address
PO BOX 639, DANVILLE, AR 72833-0639
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
47774
AR
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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