Individual
AMANDA L KREGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
170 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(704) 323-2000
Mailing address
4601 PARK RD, SUITE 300, CHARLOTTE, NC 28209-3239
(704) 323-2000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10989
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10989
PHYSICAL THERAPIST
NC
Enumeration date
02/23/2007
Last updated
06/04/2014
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