Individual
AMANDA LANGLOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
414 NELLIEFIELD TRL, CHARLESTON, SC 29492-8310
(828) 279-8237
Mailing address
414 NELLIEFIELD TRL, CHARLESTON, SC 29492-8310
(828) 279-8237
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2358
SC
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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