Individual
HEATHER L AMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4855 W RIDGE RD, ERIE, PA 16506-1213
(814) 836-5355
Mailing address
8820 MARTHA WAY, WATERFORD, PA 16441-4074
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016226
PA
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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