| NPI | 1053832824 |
|---|---|
| Former Name | AMANDA HARPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012853) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 13093PT) |
| 225100000X Physical Therapist (Licence: FL PT34782) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2023-11-03 |