| NPI | 1053383430 |
|---|---|
| Former Name | AMY LEIGH PHELPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: OR 5105) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: OR 5105) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2024-09-17 |