Amanda Marie Doran, PT | |
1425 Arch St, Phila, PA 19102-1528 | |
(215) 395-8995 | |
Not Available |
Full Name | Amanda Marie Doran |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1425 Arch St, Phila, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245744341 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT026538 (Pennsylvania) | Primary |
Provider Name | Therapy Choice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609887579 PECOS PAC ID: 2567375942 Enrollment ID: O20040107000100 |
Mailing Address | Practice Location Address |
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Amanda Marie Doran, PT 10501 Academy Rd, Ste N, Phila, PA 19114-1137 Ph: () - | Amanda Marie Doran, PT 1425 Arch St, Phila, PA 19102-1528 Ph: (215) 395-8995 |
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