| NPI | 1275183071 |
|---|---|
| Former Name | AMANDA CHRISTINE SCHMIDT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE PT-MR-00001) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01891100) |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2024-08-01 |