MRS. Amanda Joy Vandervort, MPT

NPI #1174520712 in Parma, Ohio

Provider Information

NPI Number: 1174520712
Entity Type: Individual
Name: MRS. Amanda Joy Vandervort, MPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Jun 28, 2005
Last Updated: Nov 6, 2019

Practice Location

Address: 5520 BROADVIEW RD FRNT
City: Parma
State: Ohio
ZIP Code: 44134-1605
Phone: (216) 749-6650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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