| NPI | 1437584109 |
|---|---|
| Former Name | AMANDA LYNN GAAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 036831) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01511000) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2015-06-08 |