Amy Datema

NPI #1548779622 in Paradise, California

Provider Information

NPI Number: 1548779622
Entity Type: Individual
Name: Amy Datema
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Sep 21, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 6678 CLARK RD
City: Paradise
State: California
ZIP Code: 95969-2861
Phone: (530) 876-1006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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