| NPI | 1164969366 |
|---|---|
| Former Name | AMANDA BLOCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL.0015435) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA 292621) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2023-10-26 |