Griener, Amanda Kay

Griener, Amanda Kay is an individual health care provider with primary practice located at 105 Mariner Health Way Suite 213, St Augustine FL 32086-3251. 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. Griener, Amanda Kay can be contacted via phone (904) 217-4259.

Contact Information

Primary practice address
105 Mariner Health Way Suite 213 St Augustine FL 32086-3251
Phone: (904) 217-4259
Fax: (904) 217-4251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT19913 Florida

Profile Details

NPI number 1083751093
LBN Legal business name Griener, Amanda Kay
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Feb 15th, 2013 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083751093 NPPES
Florida Other Y01L2 BCBS
Florida MEDICAID 891650100 BCBS

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