Individual
AMANDA MONKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
443 LAUREL OAK RD, VOORHEES, NJ 08043-4419
(856) 309-8508
(856) 309-8556
Mailing address
PO BOX 191, PROVIDER ENROLLMENT DEPT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01564000
NJ
2251P0200X
Pediatric Physical Therapist
Primary
40QA01564000
NJ
Other
Enumeration date
09/18/2014
Last updated
05/03/2016
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