Individual
MRS. AMANDA G PILZ
Active
Individual
MRS. AMANDA G PILZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6777
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386659894
PROMOTION PHYSICAL THERAPY FACILITY NPI
GA
01
—
582654830
BLUE CROSS BLUE SHIELD
GA
01
—
GRP PIN 821337
BLUE CROSS BLUE SHIELD
—
01
—
GRP4351
MEDICARE GRP
—
Enumeration date
04/12/2006
Last updated
06/24/2008
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