| NPI | 1679088520 |
|---|---|
| Former Name | AMANDA E PETERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070024687) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2021-03-09 |