Individual
AMANDA LANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
350 AUSTIN GRAYBILL RD, NORTH AUGUSTA, SC 29860-9251
(803) 278-1794
Mailing address
4224 WINDSLOW DR, EVANS, GA 30809-8292
(724) 816-5103
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6855
SC
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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