Individual
MISS AMANDA PTASHINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1282 OLD 115, DALLAS, PA 18612-3008
(570) 574-9662
Mailing address
1282 OLD 115, DALLAS, PA 18612-3008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL009005
PA
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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