Individual
AMANDA FELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3017 LAZARETTE LN, CHARLESTON, SC 29414-8065
(260) 318-5513
Mailing address
3017 LAZARETTE LN, CHARLESTON, SC 29414-8065
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7139
SC
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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