Individual
MS. AMY B FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2129 W NEW HAVEN AVE, W MELBOURNE, FL 32904
(321) 724-0060
(321) 724-6775
Mailing address
1567 BRONCO DRIVE, MELBOURNE, FL 32940
(321) 543-1604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT12123
FL
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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