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Dr. Amanda Lynn Derea, PT, DPT

Physical Therapist, Orthopedic in Bethlehem, PA. Individual provider (NPI-1).

NPI number1629776455
StatusActive
Last updated in NPPESFeb 21, 2023

Details

NPI
1629776455
Entity type
Individual (NPI-1)
Name
Dr. Amanda Lynn Derea
Credential
PT, DPT
Sex
Female
Sole proprietor
No
Enumeration date
Feb 21, 2023
Certification date
Feb 21, 2023
Last updated
Feb 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251X0800X Physical Therapist, OrthopedicPT030868PAYes

Practice location

1174 Illicks Mill Rd
Bethlehem, PA 18017-3652

Phone 484-822-6050

Mailing address

1174 Illicks Mill Rd
Bethlehem, PA 18017-3652

Phone 484-822-6050

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