Individual
AMANDA LANDAU PAINTER DIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2404 W 38TH AVE, DENVER, CO 80211-2122
(720) 722-2649
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 60630048
WA
225100000X
Physical Therapist
Primary
PTL.0015057
CO
2251X0800X
Orthopedic Physical Therapist
41593
CA
Other
Enumeration date
10/29/2014
Last updated
04/15/2020
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