AMANDA MACKINAW

BIRMINGHAM, AL
NPI1386048460
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AL  PTA6547)
Enumeration Date2014-10-17
Last Update Date2014-10-17
Business Address
-- AMANDA MACKINAW PTA
1717 6TH AVE S
BIRMINGHAM, AL 35233-1801
Phone number: 205-975-4922
Mailing Address
-- AMANDA MACKINAW PTA
1717 6TH AVE S
BIRMINGHAM, AL 35233-1801
Phone number: