Individual
DR. AMANDA MARY WELLS WIGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3800 SHAMROCK DR, CHARLOTTE, NC 28215-3220
(704) 532-5364
Mailing address
457 DARTMOUTH RD, WINSTON SALEM, NC 27104-2042
(419) 957-8624
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P13747
NC
Other
Enumeration date
07/16/2012
Last updated
01/24/2022
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