MARK AMENDOLA

SWEET HOME, OR
NPI1700052743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  5201)
Enumeration Date2008-04-30
Last Update Date2008-04-30
Business Address
-- MARK AMENDOLA
646 HOLLEY RD
SWEET HOME, OR 97386-3344
Phone number: 541-451-6272
Mailing Address
-- MARK AMENDOLA
646 HOLLEY RD
SWEET HOME, OR 97386-3344
Phone number: