| NPI | 1003205436 |
|---|---|
| Former Name | AMANDA L LAND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OR 60884) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 61154609) |
| Enumeration Date | 2015-01-22 |
| Last Update Date | 2022-04-29 |