Individual
MRS. TYREINA BENISHA AMEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1429 W FREMONT ST, STOCKTON, CA 95203-2635
(209) 546-0944
Mailing address
1601 HOOD ROAD, APT 21, SACRAMENTO, CA 95825-8419
(510) 213-4141
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TA9317
CA
Other
Enumeration date
12/17/2010
Last updated
12/17/2010
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