Individual
AMY M REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
738 NEWMAN RD, NEW BERN, NC 28562-5238
(252) 634-2676
(252) 633-3502
Mailing address
738 NEWMAN RD, NEW BERN, NC 28562-5238
(252) 634-2676
(252) 633-3502
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9499
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079ET
BCBS
NC
05
—
7211428
—
NC
Enumeration date
02/09/2006
Last updated
08/15/2008
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