Dodge, Amanda Marie
Dodge, Amanda Marie is an individual health care provider with primary practice located at 112 Main St Hardy Physical Therapy Rehabilitations Services Inc, Northborough MA 01532. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dodge, Amanda Marie can be contacted via phone (508) 393-7298.Contact Information
Primary practice address
112 Main St Hardy Physical Therapy Rehabilitations Services Inc
Northborough MA 01532
Phone: (508) 393-7298
Fax: (508) 393-1338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1063487189 |
|---|---|
| LBN Legal business name | Dodge, Amanda Marie |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063487189 | NPPES |
| Other | 468920 | TUFTS | |
| Other | Y68332 | TUFTS |
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