| NPI | 1427382720 |
|---|---|
| Former Name | AMANDA GWEN HAYES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 12352) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: NC 12352) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2018-11-16 |