Individual
AMANDA STRADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
7 OAK BRANCH DR STE E, GREENSBORO, NC 27407-2392
(336) 294-0910
Mailing address
640 S VAN BUREN RD UNIT B, EDEN, NC 27288-5365
(336) 623-0975
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11322
PHYSICAL THERAPY
NC
01
—
7428
LICENSE#
TN
Enumeration date
08/30/2006
Last updated
04/05/2021
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