Most Relevant Information
Provider Data
| NPI Number: | 1003312430 |
| Provider Name: | AMANDA D HERMIDA PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA003815 |
Most Important Dates
| Enumeration Date: | 04/04/2018 |
| Last Updated: | 04/04/2018 |
Provider Practice Location
322 COMMERCIAL DR
SAVANNAH
GA
314063625
Practice Location Phone/Fax
| Phone: | 9124990836 |
| Fax: |
Provider Mailing Location
142 CHAPEL DR
SAVANNAH
GA
314066265
Provider Mailing Phone/Fax
| Phone: | 9124336595 |
| Fax: |