Organization
AMANDA WOHL, PT, DPT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA P WOHL DPT (OWNER/PHYSICAL THERAPIST)
(207) 248-2208
Entity
Organization
Contact information
Practice address
56 MAYFLOWER HILL DR, WATERVILLE, ME 04901-4719
(207) 248-2208
Mailing address
56 MAYFLOWER HILL DR, WATERVILLE, ME 04901-4719
(207) 248-2208
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT4102
STATE OF MAINE PHYSICAL THERAPY LICENSE NUMBER
ME
Enumeration date
10/20/2015
Last updated
10/20/2015
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