Individual
AMANDA JEAN URQUHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
1735 COUNTY ROAD 3750, HAWKINS, TX 75765-5602
(571) 643-8796
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2146441
TX
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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