| Amanda Marie Doran, PT | |
|
1425 Arch St, Phila, PA 19102-1528 | |
| (215) 395-8995 | |
| Not Available |
| Full Name | Amanda Marie Doran |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1425 Arch St, Phila, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245744341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT026538 (Pennsylvania) | Primary |
| Provider Name | Therapy Choice Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1609887579 PECOS PAC ID: 2567375942 Enrollment ID: O20040107000100 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Marie Doran, PT 10501 Academy Rd, Ste N, Phila, PA 19114-1137 Ph: () - | Amanda Marie Doran, PT 1425 Arch St, Phila, PA 19102-1528 Ph: (215) 395-8995 |
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