Individual
AMANDA BACKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 CANAL ST STE 4, SALEM, MA 01970-6538
(781) 328-0400
Mailing address
61 LOCUST ST APT 219, MEDFORD, MA 02155-5798
(978) 998-5418
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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