Individual
MRS. AMANDA E. WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
20 COMMERCE PARK N, SUITE 103, BEDFORD, NH 03110-6911
(603) 472-5546
Mailing address
171 DANIEL WEBSTER HWY, UNIT 11, BELMONT, NH 03220-3053
(603) 524-3397
(603) 524-9364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11964
MA
225100000X
Physical Therapist
Primary
2232
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y003965NH03
ANTHEM INDIVIDUAL #
NH
05
—
3078250
—
NH
01
—
7793528
AETNA--INDIVIDUAL ID#
NH
01
—
7862579
CIGNA GROUP ID ONLY
NH
Enumeration date
04/19/2006
Last updated
03/29/2016
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