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Mrs. Amanda Lee Mohr, PTA
Student in an Organized Health Care Education/Training Program in Glencoe, Minnesota
NPI 1235512385

Amanda Lee Mohr is a Student in an Organized Health Care Education/Training Program based in Glencoe, MN. Amanda Lee Mohr practices in Glencoe, MN and has the professional credentials of PTA. The NPI Number for Amanda Lee Mohr is 1235512385 and holds a License No. 2092173 (Minnesota).

The current practice location address for Amanda Lee Mohr is 10454 160Th St, Glencoe, MN and can be reached out via phone at 952-649-7902.

Location: 10454 160Th St, Glencoe, MN, 55336-7420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235512385
Provider Name
Amanda Lee Mohr
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
10454 160Th St, Glencoe, MN, 55336-7420
Phone Number
952-649-7902
Fax Number
Provider Enumeration Date
07/08/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10454 160Th St
City
Glencoe
State
Minnesota
Zip
55336-7420
Phone Number
952-649-7902
Fax Number
person
Provider Business Mailing Address Details
Address
10454 160Th St
City
Glencoe
State
Minnesota
Zip
55336-7420
Phone Number
952-649-7902
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2092173 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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