| NPI | 1194753822 |
|---|---|
| Former Name | AMANDA J RAVENSCROFT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ LPT-007670) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT29677) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2024-07-09 |