| Doctor Name: | AMANDA EVERDEN |
| NPI Number: | 1033524269 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT |
| License Number: | 21130 |
| Business Practice Address: | 225 Rt 6a Orleans, MA - 026533255 |
| Business Phone Number: | 5082554181 |
| Business Fax Number: | |
| Mailing Address: | 225 Rt 6a, ORLEANS |
| State: | MA |
| Postal Code: | 026533255 |
| Phone Number: | 5082554181 |
| Fax Number: | |
| NPI Enumeration Date: | 06/26/2014 |
| NPI Last Update Date: | 06/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 21130 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |