AMANDA DRAPER

NAMPA, ID
NPI1205258316
Former NameAMANDA MARY WILSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-3287)
Enumeration Date2014-01-08
Last Update Date2014-01-08
Business Address
-- AMANDA DRAPER
5911 JOE LN
NAMPA, ID 83687-8703
Phone number: 208-412-0002
Mailing Address
-- AMANDA DRAPER
5911 JOE LN
NAMPA, ID 83687-8703
Phone number: 208-412-0002
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