Individual
MRS. AMANDA MARIE SURGUINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8305 FALLS OF NEUSE RD, SUITE 102, RALEIGH, NC 27615-3546
(919) 870-4444
Mailing address
8305 FALLS OF NEUSE RD, SUITE 102, RALEIGH, NC 27615-3546
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5794
NC
Other
Enumeration date
05/18/2011
Last updated
12/11/2015
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