Individual
AMANDA JONCI KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2519 43RD ST, LUBBOCK, TX 79413-3225
(806) 466-4919
Mailing address
2519 43RD ST, LUBBOCK, TX 79413-3225
(806) 466-4919
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2104175
TX
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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