| NPI | 1508808080 |
|---|---|
| Former Name | AMANDA CARIELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT018939) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DE J10002013) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2010-11-03 |