Individual
AMANDA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-9582
Mailing address
25921 LIBERTY AVE, WATERTOWN, NY 13601-5299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1252473
TX
Other
Enumeration date
11/19/2014
Last updated
03/01/2021
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