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Individual

AMANDA JO WASEMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
35 ENGLEWOOD AVE, WHEELING, WV 26003-5001
(304) 639-4422
Mailing address
35 ENGLEWOOD AVE, WHEELING, WV 26003-5001
(304) 639-4422

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA003083
WV
225200000X
Physical Therapy Assistant
Primary
TEI004193
PA

Other

Enumeration date
06/15/2026
Last updated
06/15/2026
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