| NPI | 1891007563 |
|---|---|
| Former Name | AMANDA TREINEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 2897) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IA 004635) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2015-05-30 |