Individual
AMANDA MCCALLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
17615 SE 272ND ST, SUITE 110, COVINGTON, WA 98042-4957
(253) 639-2266
(253) 639-8464
Mailing address
17615 SE 272ND ST, SUITE 110, COVINGTON, WA 98042-4957
(253) 639-2266
(253) 639-8464
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007590
WA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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