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Contact Information

AMANDA MANN
12804 WEST HILDALGO
AVONDALE, AZ85323
 Phone: 731-661-1504
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for AMANDA MANN · (Female)

NPI Number 1619370756
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2014
Last updated 10/03/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 11093A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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