| NPI | 1255675229 |
|---|---|
| Former Name | AMANDA B CARLILE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA27513) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NM A-0913) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2020-01-31 |