Individual
AMANDA LEE WELLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
12319 HIGHLAND RD STE 501, HARTLAND, MI 48353-2946
(810) 991-1211
Mailing address
PO BOX 419885, BOSTON, MA 02241-9885
(888) 830-4125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501021613
MI
Other
Enumeration date
12/22/2021
Last updated
06/23/2023
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