Individual
AMBERLY TOKOLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1717 SHIPYARD BLVD STE 320, WILMINGTON, NC 28403-8019
(910) 791-0396
Mailing address
147 WASHINGTON CIR, WALLACE, NC 28466-6178
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A5433
NC
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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