Individual
AMANDA ROSE NIGHTINGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DOC OF PHYSICAL THER
Contact information
Practice address
930 W RALPH HALL PKWY STE 120, ROCKWALL, TX 75032-6664
(972) 771-0999
(972) 771-2281
Mailing address
930 W RALPH HALL PKWY STE 120, ROCKWALL, TX 75032-6664
(972) 771-0999
(972) 771-2281
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1206819
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1206819
LICENSE NUMBER
TX
Enumeration date
01/10/2012
Last updated
01/10/2012
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