Individual
MRS. AMANDA ROXANNE LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
(877) 508-3237
(864) 244-3093
Mailing address
309 RED HILL RD, PICKENS, SC 29671-9188
(864) 878-8127
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1854
SC
Other
Enumeration date
04/07/2007
Last updated
07/08/2007
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