Individual
AMANDA WALLINGER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 253-1225
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009926
WA
Other
Enumeration date
06/04/2006
Last updated
07/08/2007
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