Individual
MRS. AMANDA MICHELLE DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3608 SHADY ACRES LN TRLR 17, WINSTON SALEM, NC 27127-8761
(336) 575-9513
Mailing address
3608 SHADY ACRES LN TRLR 17, WINSTON SALEM, NC 27127-8761
(336) 575-9513
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4147
NC
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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