| NPI | 1619221991 |
|---|---|
| Former Name | AMANDA MENDES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: AZ 9442) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AZ 9442) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2019-09-10 |