| NPI | 1134528276 |
|---|---|
| Former Name | AMANDA NICHOLE SCHULLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT016469) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT023758) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2016-07-07 |