| NPI | 1699280412 |
|---|---|
| Former Name | AMANDA LYNN HILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT-31297) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CO PTL.0013128) |
| 225100000X Physical Therapist (Licence: ID PT-4097) | |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |