| NPI | 1437387867 |
|---|---|
| Former Name | AMANDA CLAIRE WELLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OH PT014384) |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports (Licence: IA 4411) |
| 225100000X Physical Therapist (Licence: WI 11629-24) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2014-10-03 |