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Amanda Martin, PTA
NPI 1417254301 · on the registry since 2011 · sole proprietor
Practice
- Address
- 15625 Woodland Point Rd
Newburg, MD 20664 - Phone
- (240) 210-4075
- Organisation at this address
- Genesis
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-02-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland