Individual
AMANDA LEIGH MANCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1900 ALDERSGATE RD, LITTLE ROCK, AR 72205-6620
(501) 821-5459
Mailing address
1900 ALDERSGATE RD, LITTLE ROCK, AR 72205-6620
(501) 821-5459
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4509
AR
Other
Enumeration date
05/12/2020
Last updated
02/16/2021
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