Individual
AMANDA WHEATLEY MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(410) 955-0015
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-0000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25660
MD
225200000X
Physical Therapy Assistant
AT 8377
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25660
PT LICENSE
MD
Enumeration date
05/07/2007
Last updated
01/09/2025
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