Individual
AMANDA HUCKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
475 PROGRESS BLVD, SILER CITY, NC 27344-6787
(919) 799-4693
Mailing address
1826 VINTAGE DR, SNELLVILLE, GA 30078-2269
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13305
NC
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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