| NPI | 1083844229 |
|---|---|
| Former Name | AMANDA MARIE SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-04552) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 2350) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2025-03-07 |