Individual
AMANDA SHERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
215 N STATE COLLEGE BLVD, ANAHEIM, CA 92806-2913
(714) 999-6596
Mailing address
215 N STATE COLLEGE BLVD, ANAHEIM, CA 92806-2913
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9865
CA
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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