| NPI | 1124767124 |
|---|---|
| Former Name | AMANDA BARNES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: ID 8002) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2023-06-13 |