| NPI | 1215300728 |
|---|---|
| Former Name | AMANDA LEANNE ALTHOUSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT017986) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT024843) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2020-08-03 |