Amanda E Backstrom

NPI #1710510862 in Bridgewater, Massachusetts

Provider Information

NPI Number: 1710510862
Entity Type: Individual
Name: Amanda E Backstrom
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 18, 2020
Last Updated: Feb 18, 2020

Practice Location

Address: 131 SUMMER ST
City: Bridgewater
State: Massachusetts
ZIP Code: 02325-0001
Phone: (774) 285-3479

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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