AMANDA MCDONOUGH

PORT ORANGE, FL
NPI1770053951
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MT  PTP-PTA-LIC-15182)
Enumeration Date2018-11-29
Last Update Date2018-11-29
Business Address
AMANDA MCDONOUGH
5535 S WILLIAMSON BLVD STE 774
PORT ORANGE, FL 32128-8321
Phone number: 888-265-2680
Mailing Address
AMANDA MCDONOUGH
PO BOX 4834
BOZEMAN, MT 59772-4834
Phone number:
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