AMANDA NICOLE SHORT

RESTON, VA
NPI1942858667
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: VA  2305213302)
Enumeration Date2019-08-27
Last Update Date2023-04-03
Business Address
AMANDA NICOLE SHORT DPT
1850 TOWN CENTER PKWY STE 403
RESTON, VA 20190-3300
Phone number: 804-915-1910
Mailing Address
AMANDA NICOLE SHORT DPT
PO BOX 715868
PHILADELPHIA, PA 19171-7158
Phone number: 804-915-1910