Individual
AMANDA LEE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6995 N 750 W, ORLAND, IN 46776-9724
(260) 829-6363
(260) 829-6363
Mailing address
6995 N 750 W, ORLAND, IN 46776-9724
(260) 829-6363
(260) 829-6363
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005632A
IN
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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