Individual
AMY DANIELLE WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
142 BERMUDA VILLAGE DR, ADVANCE, NC 27006-7867
(336) 940-6433
Mailing address
142 BERMUDA VILLAGE DR, ADVANCE, NC 27006-7867
(336) 940-6433
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2530
NC
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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