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Individual

MRS. AMY A MATHNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.A.

Contact information

Practice address
3650 COALITION DR, MYRTLE BEACH, SC 29588-6183
(843) 293-7713
Mailing address
3650 COALITION DR, MYRTLE BEACH, SC 29588-6183

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2019
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2019
P.T.A.
SC
Enumeration date
02/06/2007
Last updated
07/08/2007
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