Individual
MISS AMANDA WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29480 WOODWARD AVE, ROYAL OAK, MI 48073-0903
(248) 541-9121
(248) 541-8386
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501301994
MI
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
07/12/2016
Last updated
11/28/2022
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