Individual
AMANDA R TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2405 ATHERHOLT RD, LYNCHBURG, VA 24501-2184
(434) 485-8500
(434) 485-8599
Mailing address
2405 ATHERHOLT RD, LYNCHBURG, VA 24501-2184
(434) 485-8500
(434) 485-8599
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305206703
VA
2251X0800X
Orthopedic Physical Therapist
6255
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3645869
—
TN
Enumeration date
07/25/2006
Last updated
01/05/2011
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