Individual
AMY LUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 733-0188
Mailing address
2811 MUSCADINE DR, AUGUSTA, GA 30909-1711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015508
MI
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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