| NPI | 1679942205 |
|---|---|
| Former Name | AMY BETH VARDIAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P10220) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: SC 5166) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2026-03-19 |