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Amanda M Krov, PTA

Physical Therapy Assistant in Cheyenne, WY. Individual provider (NPI-1).

NPI number1407106917
StatusActive
Last updated in NPPESSep 12, 2012

Details

NPI
1407106917
Entity type
Individual (NPI-1)
Name
Ms. Amanda M Krov
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 12, 2012
Last updated
Sep 12, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant0760WYYes

Practice location

3352 Dunn Ave
Cheyenne, WY 82001-1535

Phone 307-421-1154

Mailing address

3352 Dunn Ave
Cheyenne, WY 82001-1535

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