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1669973319
AMANDA LYNNE WEIDNER
SAINT CLAIR SHORES, MI
NPI
1669973319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501012049)
Enumeration Date
2018-02-27
Last Update Date
2018-02-27
Business Address
Mrs. AMANDA LYNNE WEIDNER PT
23715 LITTLE MACK AVE STE 200
SAINT CLAIR SHORES, MI 48080-1181
Phone number: 586-447-4064
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Mailing Address
Mrs. AMANDA LYNNE WEIDNER PT
53581 DEERFIELD LN
NEW BALTIMORE, MI 48047-6395
Phone number: 586-292-6005
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