Provider Demographics
NPI:1477832962
Name:LEWANDOWSKI, AMANDA LEIGH (DPT)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:LEIGH
Last Name:LEWANDOWSKI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7746
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33734-7746
Mailing Address - Country:US
Mailing Address - Phone:727-898-5001
Mailing Address - Fax:727-894-0554
Practice Address - Street 1:13011 SUMMERFIELD SQUARE DR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33578-7402
Practice Address - Country:US
Practice Address - Phone:813-374-2209
Practice Address - Fax:813-374-2211
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT26537225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT26537OtherFLORIDA PHYSICAL THERAPY LICENSE