Individual
AMANDA WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT
Contact information
Practice address
101 BRUCEWOOD RD, SOUTHERN PINES, NC 28387
(229) 563-6048
Mailing address
2517 WATERFORD CT, SANFORD, NC 27330-7713
(229) 563-6048
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
8965
NC
2251N0400X
Neurology Physical Therapist
PT 00009970
WA
Other
Enumeration date
08/19/2010
Last updated
10/16/2018
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