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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA R DEROSA, DPT

Active

AMANDA R DEROSA, DPT is a Physical Therapy Assistant healthcare provider located in FLAGSTAFF, Arizona. NPI 1134319700 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · FLAGSTAFF, AZ

Registration Details

NPI Number
1134319700
Provider Type
Individual
Gender
Female
NPI Issued
Jul 30, 2007 (19.054275053429 yrs)
Last Updated
Dec 6, 2023
Licenses
7738 (AZ)
7738
7738 (AZ)

Practice Information

Address
1072 E OLD CANYON CT
FLAGSTAFF, AZ, 860016006
Browse AZ providers · Browse ZIP 86001
Phone
9282207504
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in FLAGSTAFF, AZ

Name Credential NPI
MARK W STATHAM PT 1922002831
JOSEPH MICHAEL CARTER PT, DPT 1316941149
VALERIE ANN CARTER PT, DPT, NCS 1528013919
DR. KELLY K. FOSBERG PT, DPT, PHD, OCS 1932135282
JAMES D MCCALLUM DPT 1750319372
ERIN FLANAGAN GUINAN DPT 1881604262
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.