Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT024439 | PA |
NPI | 1003282765 |
---|---|
Provider Name | Amanda Kayser |
First Address | Pittsburgh, PA 15203 |
Second Address | Pittsburgh, PA 15203-2054 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2015 |
Last Update Date | 18/08/2015 |