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1700113057
AMANDA ELISE GARDNER
NEW YORK, NY
NPI
1700113057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 031680)
Enumeration Date
2009-11-06
Last Update Date
2011-11-18
Business Address
-- AMANDA ELISE GARDNER DPT
622 W 168TH ST
NEW YORK, NY 10032-3720
Phone number: 212-305-3280
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Mailing Address
-- AMANDA ELISE GARDNER DPT
630 WEST 168TH STREET
NEW YORK, NY 10032
Phone number: 212-305-5847
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