| NPI | 1295373181 |
|---|---|
| Former Name | AMANDA MERCEDES MORCOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P20068) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60983464) |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2020-12-11 |