Provider Demographics
NPI:1689879496
Name:STRONG, AMANDA LEIGH (ATC)
Entity Type:Individual
Prefix:MISS
First Name:AMANDA
Middle Name:LEIGH
Last Name:STRONG
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 LEXINGTON GDNS
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-3473
Mailing Address - Country:US
Mailing Address - Phone:203-999-5499
Mailing Address - Fax:
Practice Address - Street 1:70 LEXINGTON GDNS
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-3473
Practice Address - Country:US
Practice Address - Phone:203-392-6708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer