Individual
AMY LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 WILLOW PL, EASLEY, SC 29640-1385
(864) 855-9800
Mailing address
215 HEATHWOOD PL, EASLEY, SC 29640-8991
(864) 704-7880
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3650
SC
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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