Individual
AMANDA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 COUNTRY CLUB PARK, MOUNTAIN BRK, AL 35213-4237
(205) 871-0777
(205) 871-0701
Mailing address
2807 GREYSTONE COMM BLVD, SUITE 34, BIRMINGHAM, AL 35242-9601
(205) 745-3660
(205) 408-4209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH7268
AL
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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