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NPI Code Detail

MEDICARE: AMANDA GAGLIARDI

MEDICARE: AMANDA GAGLIARDI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist039971NY
2225100000XPhysical TherapistPTH9210AL

General Provider Information

NPI Number : 1467807255
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA GAGLIARDI
Provider Business Mailing Address
First Line : 227 NEW SEARCY RD
Second Line :
City : GREENVILLE
State : AL
Zip : 36037-3739
Country : US
Telephone Number : 716-946-9711
Fax Number :
Provider Business Practice Location Address
First Line : 521 GREENVILLE BYP
Second Line :
City : GREENVILLE
State : AL
Zip : 36037-3732
Country : US
Telephone Number : 334-382-5308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2016
Last Update Date : 10/18/2022

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Directions to “ AMANDA GAGLIARDI ” Practice Location

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