Amanda Voland Black

NPI 1114128253 - Physical Therapist - 225100000X

NPI Details
NPI 1114128253
Gender Female
Enumeration Date 05/29/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1000 E CHERRY ST
TROY MO, 63379-1513, US
Phone (636) 528-3345
Fax
Business Location
1880 STATE HIGHWAY 78 N
JACKSONVILLE IL, 62650-6221, US
Phone (920) 356-8796
Fax
Toxanomy
Taxonomy Code 225100000X
License State Wisconsin
License Number 10562-024
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According to our database, Amanda Voland Black NPI is 1114128253, taxonomy code is 225100000X and license number is 10562-024, license state is located at Wisconsin. Amanda Voland Black physically located at 1000 E Cherry St, Troy MO, 63379-1513. NPI Number Amanda Voland Black has the Individual type.

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1114128253 NPI number is provided on an as is basis without warranty of any kind. 1114128253 is maintained by the National Plan & Provider Enumeration System. The contents of Amanda Voland Black are for informational purposes only.