Individual
AMANDA MURACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3672 MARATHON CIR, SUITE 200, AUSTELL, GA 30106-6821
(770) 944-3303
(770) 944-0285
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008624
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10775
LICENSE#
TX
Enumeration date
11/06/2006
Last updated
12/29/2014
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