NPI 1093396806

Amanda Libassi

Practitioner Physical Therapy Assistant Salem, VA

Practice location

Address: 11 N Broad St, Salem, VA 24153-3799
Phone: (540) 389-0160
Mailing address: 6145 Renoir Ln, Roanoke, VA 24018-5298

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 2306602040 (VA)

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Registry record

NPI: 1093396806
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Apr 2021
Record last updated: 14 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.