NPI 1619370756

Amanda Mann

Practitioner Physical Therapy Assistant Avondale, AZ

Practice location

Address: 12804 West Hildalgo, Avondale, AZ 85323
Phone: (731) 661-1504

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 11093A (AZ)

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Registry record

NPI: 1619370756
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Oct 2014
Record last updated: 3 Oct 2014

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.