Most Relevant Information
Provider Data
| NPI Number: | 1003391004 |
| Provider Name: | AMANDA BLADT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/26/2018 |
| Last Updated: | 09/26/2018 |
Provider Practice Location
76 FRANKENFIELD RD
OTTSVILLE
PA
189429782
Practice Location Phone/Fax
| Phone: | 6173597201 |
| Fax: |
Provider Mailing Location
PO BOX 575
OTTSVILLE
PA
189420575
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |