Individual
AMANDA LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 HEALTH CARE DR, PENNINGTON GAP, VA 24277-2854
(276) 546-4566
Mailing address
1147 RIDGEVIEW RD, JONESVILLE, VA 24263-7825
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602874
VA
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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