AMANDA CHRISTINE FENNELLY DPT Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070027433

License Status

ACTIVE

Business

Title

DPT

First Name

AMANDA

Middle

CHRISTINE

Last Name

FENNELLY

Business Name

AMANDA CHRISTINE FENNELLY DPT

Original Issue Date

05/17/2023

Effective Date

07/03/2024

Expiration Date

09/30/2026

City

DAVENPORT

State

Zip

52804

County

SCOTT

Ever Disciplined

LastModifiedDate

10/03/2024