Individual
AMANDA WILKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 OAK GROVE RD, SPARTENBURG, SC 29301-2537
(864) 595-4225
(703) 866-0158
Mailing address
1926 BELMONT RIDGE CT, RESTON, VA 20191-4399
(703) 476-7848
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
23005204975
VA
Other
Enumeration date
03/28/2007
Last updated
07/10/2008
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