Individual
AMANDA WALWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
9317 VIENNA RD, MONTROSE, MI 48457-9729
(810) 639-6171
Mailing address
4498 OLD CARRIAGE RD, FLINT, MI 48507-5622
(810) 965-8997
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502005036
MI
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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