Individual
AMY KATHERINE TALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27710-4629
(919) 684-8111
Mailing address
4030 ST CROIX LN APT 202, MEBANE, NC 27302-7461
(513) 910-0996
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
NC05374
NC
Other
Enumeration date
06/20/2018
Last updated
08/30/2024
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