Amanda Alfonso, PT, DPT, ATC

NPI #1104466465 in Woodside, New York

Provider Information

NPI Number: 1104466465
Entity Type: Individual
Name: Amanda Alfonso, PT, DPT, ATC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT, ATC
Enumeration Date: Jan 14, 2020
Last Updated: Jan 14, 2020

Practice Location

Address: 42-77 65TH PLACE
City: Woodside
State: New York
ZIP Code: 11377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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