Individual
AMANDA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
3263 PROFFIT RD, SUITE 202, CHARLOTTESVILLE, VA 22911-5639
(434) 654-5575
(434) 654-5574
Mailing address
PO BOX 79777, BALTIMORE, MD 21279-0777
(434) 654-7794
(434) 654-7752
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126001285
VA
363A00000X
Physician Assistant
Primary
0110004137
VA
Other
Enumeration date
08/01/2008
Last updated
11/30/2016
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