| NPI | 1417295577 |
|---|---|
| Former Name | AMANDA MARIE PAIGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: IA 005091) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 005091) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2014-03-14 |