| NPI | 1619223831 |
|---|---|
| Former Name | AMANDA L MCDANIEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305207888) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: DC PT871381) |
| 225100000X Physical Therapist (Licence: OH PT.012917) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2013-09-27 |