Individual
MRS. AMANDA WHEELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
630 S PEARL ST, TACOMA, WA 98465-2111
(253) 671-7300
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60173951
WA
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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