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Individual

AMY BETH WHALEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
8919 PARK RD, CHARLOTTE, NC 28210-9600
(704) 776-3111
Mailing address
3208 RINGTAIL DR, WAXHAW, NC 28173-7266
(704) 776-3111

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5166
SC
225100000X
Physical Therapist
Primary
P10220
NC
2251G0304X
Geriatric Physical Therapist
Primary
P10220
NC

Other

Enumeration date
09/24/2015
Last updated
03/19/2026
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