| NPI | 1003622705 |
|---|---|
| Other Name | AMANDA CORNELIUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: OH 007677) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2024-12-06 |