| NPI | 1942493192 |
|---|---|
| Former Name | AMANDA MANZOEILLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AZ 8812) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070015359) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2017-11-13 |