Individual
AMY S MUMBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
501 OAK LANE, WAYNESBORO, VA 22980
(540) 941-3100
Mailing address
501 OAK LANE, WAYNESBORO, VA 22980
(540) 941-3100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199424
ANTHEM BLUE CROSS
VA
Enumeration date
09/20/2006
Last updated
07/08/2007
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