Individual
AMANDA B. WAREHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 WEST COUNTRY CLUB DRIVE, HUNTINGTON, WV 25705
(304) 733-1060
Mailing address
6320 LINVILLE DR, #18, BARBOURSVILLE, WV 25504
(304) 617-4599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2442
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810006401
—
WV
Enumeration date
12/20/2006
Last updated
07/08/2007
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