Individual
393AMANDA JENNIFER HADDAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4255 NORTHFIELD RD, HIGHLAND HILLS, OH 44128-2811
(216) 292-9700
Mailing address
2743 MARBLEVISTA BLVD, COLUMBUS, OH 43204-9016
(440) 759-8709
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT.013498
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0028740
—
OH
Enumeration date
11/16/2011
Last updated
11/16/2011
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