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1528416138
AMANDA C FENNELLY
DAVENPORT, IA
NPI
1528416138
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Former Name
AMANDA C MALONE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IA 082741)
Enumeration Date
2016-05-25
Last Update Date
2024-03-06
Business Address
Ms. AMANDA C FENNELLY PT
6101 NORTHWEST BLVD
DAVENPORT, IA 52806-1861
Phone number: 563-449-7004
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Mailing Address
Ms. AMANDA C FENNELLY PT
850 43RD AVE STE 100
MOLINE, IL 61265-8401
Phone number: 309-743-2070
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