Mark Amendola

NPI #1700052743 in Sweet Home, Oregon

Provider Information

NPI Number: 1700052743
Entity Type: Individual
Name: Mark Amendola
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Apr 30, 2008
Last Updated: Apr 30, 2008

Practice Location

Address: 646 HOLLEY RD
City: Sweet Home
State: Oregon
ZIP Code: 97386-3344
Phone: (541) 451-6272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Organizations

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